ࡱ> TVSs  xjbjb !Nkku]<<<<$$ n4((((OdO4O8 8 8 8 8 8 , #$d 9-"Od <<((4<8((<<<<n  [|tg  Participation Contract/INVOICE Tier IA MIPCOM October 4-8, 2004 This document covers your Registration Fee, Accreditation and Participation in U.S. Independents Stand Instructions: Please carefully print or type in the required information on this Contract. This form must be returned to reserve your place in the US Independents Stand. Payment in full must be made by 7/30/04 to avoid a late fee. Payment may be made in Euros via PayPal see page two of this agreement for instructions. or via check In US dollars using an exchange rate of Euro 1.00 = USD$1.25. This form must be filled out, printed,and signed. It should then be faxed or mailed to: U.S. Independents, Inc, 5603 Inverchapel Road, Springfield, VA 22151 Fax: 703-321-8098 Problems with fax call 703-321-9362 Stand Participation Fee -- Euros 1,500 per person Level Tier I A (including company listing in print guide on the MIPCOM Website) (See Tier I contract if you do not want to pay for separate listing in guide and on the web) Company:  FORMTEXT       Name and Title:  FORMTEXT       Address:  FORMTEXT       City:  FORMTEXT       State:  FORMTEXT       Zip:  FORMTEXT       Phone:  FORMTEXT       FAX:  FORMTEXT       E-mail:  FORMTEXT       Website:  FORMTEXT       Signature/Date: ____________________________________________________________________________ I agree to pay all registration fees and acknowledge that upon signing this contract that I shall be indebted for the full amount of the participation option. I further acknowledge that this agreement is final and binding, and that all fees are non-refundable. TOTAL DUE Euros 1500 * Please note: Upon receipt of participation contract and all fees, accreditation regulations and hotel reservation forms will be sent. Participants are responsible for travel, per diem, and lodging costs. Hotel reservations are on a first-come, first-served basis. You may not reserve lodging through U.S. Independents until all fees are paid in full. Also Note: company information on this form will be used for any pre-MIPCOM publicity, Guide Listing, and Stand Signage, so please ensure that information is accurate and legible.  FORMCHECKBOX YES, I want US Independents to assist me in reserving hotel accommodations  FORMCHECKBOX  NO, I will make my own hotel arrangements. * See next page for directions on how to use PayPal. If you see {FORMTEXT} on this page please hit alt F9 to prepare the fields for data entry Pay Pal Instructions We have set up an account with Paypal that will allow you to pay US Independents by credit card in Euros. It is relatively simple, but does require that you log onto the paypal website, register your creditcard and/or bank account information. They accept Visa, MasterCard, Discover and American Express. Bank Account information will be required to lift any transactions limits. To Set up a New PayPal Account: Go to www.paypal.com  HYPERLINK "http://www.paypal.com" http://www.paypal.com Sign up for a free personal or premium account. Follow all directions and confirm your e-mail address. Go to Send Money Add your credit card to your account. Verify your account To enable Euro Capability: Go back into your Paypal Account Go to Financial Information Go to Currency Balance Highlight the radio button next to Euro Click on Open Balance Go back to Send Money after you have added your credit card and or bank account information: In "Recipient's E-Mail" type:  HYPERLINK "mailto:info@usindependents.com" diana.ingraham@usindependents.com Under "Type" select: Service Under Currency Option use Euro Balance Confirm information and click on the send button. Questions: Call Diana at 301-897-5511 or e-mail *OJQJ5CJOJQJ56CJOJQJ5CJOJQJOJQJjOJQJUmHjOJQJUjOJQJU"XYZOP,-PQn  & F    & F$678MN-/PQ}~)3tuwxOJQJjACJOJPJQJU5CJOJPJQJ0JCJOJQJjrCJOJPJQJUCJOJPJQJjCJOJPJQJU,-PQno/1dh%&()¸|wrpppngn`nYnnn         opqr          0123H  Ir  "no/1%&()tuvwx$  & F  & F)tuwx 0P/ =!"#$%...()()()..)()FιM1,!u +JFIF``C       }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz?S((}K[ww?ho¿t}?IӵmSNn5 I[drwȿg뇯c_>.WK񇍵k[SuL#'>7nG~~ 3\?5]X/Ud קm^_^(7oIN5߱␣;_߱V߲OXv[b b{3G7ߵ6la?~~^U\|1ѭ<5ARܧУ^Ig5K_ ^w?:xo!(;'? <5~*!hI7,}4Ef[ƟgTZ&{E$t[: g⧀nk+VqFoɱ#~*;p|H; SII >M^Mo_1J3#̬VĿo?xzC~"xUb[Vgi?FQx⧈&_xfYiaT/-YKkhYe`ݛOC (Q{k8p|'c_ğL:5;Ƨs;En3 ! 5ΙCMgTm`"}vWڷQ~!}D,FΘ?ڙ{_#xzJW=yWDow ?~$2:oLov vռ1é6}WDVK۝+oSxGϊoS-^w_~w@I 5]Xvēg7~+HYME!K࢞7[,$|Cs]7~ګ$#izbLM | Cƾ"MzV?*GEQ[ lw_2uduL4gO~~W?lBw<%|e(%faY 9Gkkr׿j/Zw4k{PiԵ"~ ݘt_> xW !-oB35ԽY[+?lh&q})~K`~O _?~aAvU_?-Ɵk! ޿܋:>4\~/|Kg kgO Oj:m#V_~ߴ_9t/^EDqMSWꏞ`?ykχ?>#EOx'B_cb;MzQ_O?d}Ki8nVm;^f}"ZbؿCFMOzhu}_g?o?*+{u> 7iڍ滳v[cپ^RjxSt|1?k!*oknz%8O-t/jO{{=ֹb|ɺidoy~v2f$Q@zi1C>ww fjh~"d^kx}燼-߁K JK?d'Mk&ˏ_v>1aN??W2Ao74ԼFxV>EV_gG^m!3ϖN A j?~ߛx]BG?M=w 5m7)#P#W>ljl[-1n_&dٻuWCdԿgYKķjZ='-}MQ5 k:%xo8,o5ښFe6gwo++ ''Jšl1{ $}P\跼ܕk 'gOwPU-^Mvޒ¿=:Wg3N4-Q93ϻhO. ?!J(({lx_bqWQEd Nx!%CoyǫJO| /5xm:-.oO7ط!>xԫ/ini&]8{JvvWpRc5mw '_/i_|xCu8mi~_\>BE_QEQ_&m+HH(lu3ĐlKE0?O#σŒ"n#΍xAFs6RocK?kg\?WDwz?wcg,!ß|7 2/;+.u x7?Ldҿ?~9NO~45ٴ><<;'GJi?>حUQEQEdE_& -wN?'e{Dυp?J2ΣW?xן%=e:iQhih"H6cj߆=cW>OVI!WEЙS޿,o?gۇm_IuMu$ݭw|iĞ 5gS]I_.o81`q_&m+HH(+'?-j7koa4 ~^3G/\57Ko؋bX 2&O}cIg y^Z?੷?!xu? t햰셣sTN6 |c|5[mvk#Qȓ27eϏ+Wee 75]]iG[_b~͟o Vҿ*((_gR~9xç;7-͋]}~_F>3xW<x] %C<|} W|^Mwg%-qD<+gHдdHlmöā-Q_?WWH>oH7QZ#yѣ#m+Oŝ7IcD((?|7Xt]k.-A=ʹ/0hϏ^-Ğ6mwRaDi y,Q=(>>|*m|#7dwwi=OM־E{BX>3es ܣٝ7{| &l|ǶKt_d۠^7ntjЖ>fDO]cZΧB𦡨L\^M4yυ? #۩bGlf|B}JhZS .  nH\'WϚ3xgkW&Fl.Mޖ>OC^񧁵xF}6Wj'n4(M>~jjljGlOȜ9}](l5  5?h+u7\V)#"Io>Oj?k}_»>D,.ݣŨ&x] o?V)Ὲ:~[h5uhohtЧwkR}[$g||Q|?jTDwO;O_ݿ)Q<)MbOh:%/n5Ohf&Ha6$oď|s/nfsYۣ?F'Xth/WڍÏ|YIj5Hn,7WX1@_g r=kC͊4{dwdvp]_'/ Q|/moX}sQŶnύ 6nxc|nKZᯆ_ZwkZ<ӾSyN]|?Ė^5Ko@Hu3`6&~Ɩǧx|Yx@L{<ݮ^_sIֵѾ|6|1+Tύ =,GfWwFxQY24'k;ψھ}KpėV͝EwMf߿=W[꺶iM&og +ol8r0x@xDG:)3hq>+~:χ^?%Ҽ+CÖwjuﶙ΄^/t/ igvcmED}pQEQEQEQEW:&Ώ4>"ߛ[-Fygn'kƚ/G|_ :$ -u M\`ٱӣ[پ |4.mb\-u7,&hRFU$dJ먯tDText1tDText2tDText3tDText4tDText5tDText6tDText7tDText8tDText9vDText10tDeCheck2tDeCheck3DyK http://www.paypal.comyK .http://www.paypal.com/ DyK "diana.ingraham@usindependents.comyK Rmailto:diana.ingraham@usindependents.com [D@D Normal1$7$8$H$OJQJ_HmH sH tH BB Heading 1$@&5CJOJQJ\aJH@H Heading 3$$@&a$5CJOJQJ\^J<A@< Default Paragraph Font4>@4 Title$a$5CJ.OJQJ<B@< Body Text56CJOJQJ^JZZ@Z Plain Textdd1$7$8$H$[$\$CJOJPJQJ^JaJ.U@!. Hyperlink >*B*phxx.A x$ x Xnx )x#/5HTZfrx (4:P\b % r  7 M P~xFFFFFFFFFFG G XXl,R$ιM1,!u +/H@&(    c Al.@..\US Independents\logo_files\US Indies Logo Jpeg.JPG,,S`TS`T,B S  ?x Text1Text2Text3Text4Text5Text6Text7Text8Text9Text10Check2Check3$Ig )Q s y 6[y;c& yq| y   # - @ F duy& x|HP ;A1uyDiana IngrahamaC:\Documents and Settings\Diana Ingraham\My Documents\MIPTV 2004\MIPTV 2004 Tier I A Contract.dotDiana IngrahamaC:\Documents and Settings\Diana Ingraham\My Documents\MIPTV 2004\MIPTV 2004 Tier I A Contract.dotDiana IngrahamaC:\Documents and Settings\Diana Ingraham\My Documents\MIPTV 2004\MIPTV 2004 Tier I A Contract.dotDiana IngrahamaC:\Documents and Settings\Diana Ingraham\My Documents\MIPTV 2004\MIPTV 2004 Tier I A Contract.dotDiana IngrahamcC:\Documents and Settings\Diana Ingraham\My Documents\MIPCOM 2004\Tier I A Contract Mipcom 2004.dotDiana IngrahamC:\Documents and Settings\Diana Ingraham\Application Data\Microsoft\Word\AutoRecovery save of Tier I A Contract Mipcom 2004.asdDiana IngrahamcC:\Documents and Settings\Diana Ingraham\My Documents\MIPCOM 2004\Tier I A Contract Mipcom 2004.dotDiana IngrahamC:\Documents and Settings\Diana Ingraham\Application Data\Microsoft\Word\AutoRecovery save of Tier I A Contract Mipcom 2004.asdDiana IngrahamcC:\Documents and Settings\Diana Ingraham\My Documents\MIPCOM 2004\Tier I A Contract Mipcom 2004.dotchris sonnemanshFilesVideo HD:Websites:usindependents.com:archive:2004:mipcom2004:contracts:TierIAContractMipcom2004.dot>*l~o.-D$X`,3o 6RA=sidgmgx @  ^ `OJPJQJ^Jo(   ^ `OJQJo(o xx^x`OJQJo( HH^H`OJQJo( ^`OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o X X ^X `OJQJo(H H^H` o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.808^8`0o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.>*o.-mgx6RX`,3si G   @hh\X 22hd4x@@@@ @@ GTimes New Roman5Symbol3 ArialG5  hMS MinchoTimesg"Dutch 801 RomanTimes New RomanA& Futura Lt BTI& ??Arial Unicode MS? Courier New;Wingdings"fWU KZ= !xxd NRdParticipation Contract/INVOICEDiana Ingrahamchris sonnemans Oh+'0, DP l x  'Participation Contract/INVOICEiartDiana IngrahamoianianTierIAContractMipcom2004.dotEichris sonnemans6riMicrosoft Word 8.0m@U0@A,e@^@“k=  ՜.+,D՜.+,X hp  'US Independents Participation Contract/INVOICE Title 8@ _PID_HLINKS'AQ6..\US Independents\logo_files\US Indies Logo Jpeg.JPGx  !"#$%&')*+,-./123456789:;<=>?@ABDEFGHIJLMNOPQRURoot Entry Fo|WData (1Table0%WordDocument!NSummaryInformation(CDocumentSummaryInformation8KCompObjD FMicrosoft Word DocumentNB6W