ࡱ> gif% bjbj%% H`GGlr r r r D ,&4  cD3OS3S3S3S3S3S3$6 8w3i+m"++w3  3   +X8  3 +3  02 @(Zr |1230&41\9/92  Participation Contract/INVOICE Tier III MIPTV featuring MILIA April 3-7, 2006 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 2/17/06 to avoid a late fee. (If you see {FORMTEXT} on this page please hit alt F9 to prepare the fields for data entry) Payment may be made in Euros via PayPal or in US Dollars via check see page two of this agreement for instructions. This form must be filled out, printed, and signed. It should then be mailed to: U.S. Independents, Inc c/o 5816 Wyngate Drive, Bethesda, MD 20817 Questions: Call Meg at 207.729.3274 or Diana at 301.897.5511 (if you are paying by check please enclose payment) Stand Participation Fee Euros 5500 per company. Dedicated table including two registrations The Tier III Level includes registration for two delegates and dedicated company listing in print guide and on the MIPTV/MILIA website; additional delegates may be added for a fee of 480 Euros per person. Company:  FORMTEXT       Name and Title:  FORMTEXT       Address:  FORMTEXT       City:  FORMTEXT       State:  FORMTEXT       Zip:  FORMTEXT       Phone:  FORMTEXT       FAX:  FORMTEXT       E-mail:  FORMTEXT       Website:  FORMTEXT       Additional Participant: Name:  FORMTEXT       Title:  FORMTEXT       Email:  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. Dedicated Table Reservation including Two Registrations Euros 5500 Plus Additional Participants  FORMTEXT       x Euros 480 = Euros  FORMTEXT       TOTAL DUE (sum) EUROS  FORMTEXT       Please note: Upon receipt of this contract and all fees, a subsidiary form that includes the option to request hotel reservations will be forwarded. You will need to fill out the subsidiary form and return it as directed no later than 2/17/06 to meet print deadlines. Please be sure to fill out the subsidiary form legibly and accurately. The information contained in it will be used for your dedicated company listing in the print guide and on the website. Participants are responsible for travel, per diem, and lodging costs. Hotel reservations are on a first-come, first-served basis. Additional Participants: Name:  FORMTEXT       Title:  FORMTEXT       Email:  FORMTEXT       Name:  FORMTEXT       Title:  FORMTEXT       Email:  FORMTEXT       To Pay by Check Payment may be made in US Dollars via check. Please contact Meg or Diana for the appropriate exchange rate to be used and the total due in Dollars. Make checks payable to US Independents, Inc. and forward them to: 5816 Wyngate Drive, Bethesda, MD 20817 phone: 301.897.5511 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:diana.ingraham@usindependents.com" diana.ingraham@usindependents.com (you must use this address) 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 info@usindependents.com +PEz(45MO$& ۻym`mmUjOJQJU^J56CJOJQJ\]5CJOJQJ\^J5CJOJQJ\CJOJQJ\]^JCJOJQJ\^J 5OJQJOJQJ\^JOJQJ\]^J56OJQJ^J5OJQJ]^J6CJOJQJ]^J5CJOJQJ^J OJQJ^J5OJQJ^JCJ$OJQJ^JjCJUmHnHu +Q& F H #$d%d&d'dNOPQ,$d%d&d'd)fNOPQS$a$$a$   4 6 8 B D F Z \ p r t ~      $ & * , @ δΦΘΊCJOJQJ^JjOJQJU^Jj\OJQJU^JjOJQJU^JjtOJQJU^J5CJOJQJ\^J OJQJ^J jOJQJU^JmHnHujOJQJU^JjOJQJU^J-H R T V X : < LMr ^`^#$d%d&d'dNOPQ@ B D N P T ^ d f z | ~    * . 0 D F H R T X δΦΘΊ΂x5OJQJ\^J5OJQJ^JjOJQJU^JjOJQJU^Jj,OJQJU^JjOJQJU^J5CJOJQJ\^J OJQJ^J jOJQJU^JmHnHujOJQJU^JjDOJQJU^J,     ( * , 6 8 < X <=LMl绰绰yrir`ri56CJ\]56CJ\] 56\]5CJOJQJ^JjvOJQJU^J jOJQJU^JmHnHujOJQJU^JjOJQJU^J OJQJ^J&j5OJQJU\^JmHnHu!j5OJQJU\^J5OJQJ\^Jj5OJQJU\^J!lmwx  ,0DFZ\^hjl꜕veLv1v5j56CJU\]ehmHnHru0jb56CJU\]ehr!56CJ\]ehr*j56CJU\]ehr56CJ\] 56\]56CJ\]5j56CJU\]ehmHnHru0j56CJU\]ehr!56CJ\]ehr*j56CJU\]ehrC   "$8o[PjOJQJU^J&j5OJQJU\^JmHnHu!jN5OJQJU\^Jj5OJQJU\^JOJQJ\^J5OJQJ\^J OJQJ^J 6CJ\],jCJU\ehmHnHru'jCJU\ehrCJ\ehr!jCJU\ehrCJ\CJ\:<\^`b?@  & F[$\$[$\$#$d%d&d'dNOPQ8:<FHP\`bvxz(*,68<ζĨėugj OJQJU^Jj& OJQJU^J&j5OJQJU\^JmHnHu!j5OJQJU\^Jj5OJQJU\^Jj:OJQJU^J5OJQJ\^J OJQJ^J jOJQJU^JmHnHujOJQJU^JjOJQJU^J'<\^bU   -.Kۼ۱۱ۼ۱~5\#j CJOJPJQJU^J0JCJOJQJ^J#j CJOJPJQJU^JCJOJPJQJ^JjCJOJPJQJU^J5CJOJPJQJ\^JaJCJOJPJQJ^JaJPJ^J OJQJ^JCJOJQJ^JCJ%@TU~  89STUL  & F [$\$  & F[$\$  [$\$[$\$  & F[$\$LMno  & F [$\$[$\$ )...()()()..)() 0P/ =!"#$%8$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$dJ먯tDText1tDText2tDText3tDText4tDText5tDText6tDText7tDText8tDText9vDText10vDText17vDText18vDText19vDText14vDText15vDText16vDText17vDText18vDText19vDText17vDText18vDText19DyK http://www.paypal.comyK .http://www.paypal.com/ DyK "diana.ingraham@usindependents.comyK Rmailto:diana.ingraham@usindependents.com iD@D Normal1$7$8$H$OJQJ_HmH sH tH BB Heading 1$@&5CJOJQJ\aJvv Heading 2>$ # p@ P @&^`5CJOJQJ^JH@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*ph @+Q#$AB+,DELME ^ _   ! " : ; < R S HIyz#$GHef%' ACD0000000000000000000000000000000000000000000000(00 0 0 0 (00< 0< 0< 0< 0<  0< 0<  0< 0<  0< 0<  0< 0<  0< 0<  0< 0< 0< 0<  0< 0<  0< 0<  0< 0<  0< 0<  0< 0< 0< 0< 0< 0< 0< 0< 0< 0< 0< 0< 0; 0; 0; (000 @ l8<H @L!-9?NZ`x#)LX^jv|lx~f r x   0FF~FFFFFFFFFFFFFFFFFFFFFFXXl,R$ιM1,!u ++Aj@N(    C Al..\US Independents\logo_files\US Indies Logo Jpeg.JPGB S  ?pTText1Text2Text3Text4Text5Text6Text7Text8Text9Text10Text14Text15Text16Text17Text18Text19.Oymg  "@a*y $*r x &7=&tx]l  * =D333333333333+Q&&@CLMz~"-@Nax*+!./0;=GKE f y   Diana IngrahamaC:\Documents and Settings\Diana Ingraham\My Documents\MIPTV 2005\Tier III Contract MIPTV 2005.dotDiana IngrahamcC:\Documents and Settings\Diana Ingraham\My Documents\MIPCOM 2005\Tier III Contract MIPCOM 2005.dotDiana IngrahamcC:\Documents and Settings\Diana Ingraham\My Documents\MIPCOM 2005\Tier III Contract MIPCOM 2005.dotDiana IngrahamcC:\Documents and Settings\Diana Ingraham\My Documents\MIPCOM 2005\Tier III Contract MIPCOM 2005.dotDiana IngrahamcC:\Documents and Settings\Diana Ingraham\My Documents\MIPCOM 2005\Tier III Contract MIPCOM 2005.dotDiana IngrahamcC:\Documents and Settings\Diana Ingraham\My Documents\MIPCOM 2005\Tier III Contract MIPCOM 2005.dotDiana IngrahamaC:\Documents and Settings\Diana Ingraham\My Documents\MIPTV 2006\Tier III Contract MIPTV 2006.dotDiana IngrahamaC:\Documents and Settings\Diana Ingraham\My Documents\MIPTV 2006\Tier III Contract MIPTV 2006.dotDiana IngrahamaC:\Documents and Settings\Diana Ingraham\My Documents\MIPTV 2006\Tier III Contract MIPTV 2006.dotDiana IngrahamaC:\Documents and Settings\Diana Ingraham\My Documents\MIPTV 2006\Tier III Contract MIPTV 2006.dot >*l~o.-D$Qo.lX`,3o k@6@6RA=eNyU3) ]Jsidg  ^ `OJPJQJ^Jo(   ^ `OJQJo(o xx^x`OJ QJ o( HH^H`OJQJo( ^`OJQJo(o ^`OJ QJ o( ^`OJQJo( ^`OJQJo(o X X ^X `OJ QJ o(H H^H` 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.H H^H` o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.H H^H` o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.H H^H` o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.808^8`0o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L. >*k@o.-3) ]eNyUQo.6RX`,3si ``h*        :}        ټ*                 p                  {b        'b        ֧          G   3@$dyy s s @ @$@,@Unknown Gz Times New Roman5Symbol3& z Arial5& z!TahomaG MS Mincho-3 fg?5 z Courier Newg"Dutch 801 RomanTimes New RomanA& Futura Lt BTW& ??Arial Unicode MSTahoma;Wingdings"AccL "xx2d 3QHParticipation Contract/INVOICEDiana IngrahamDiana IngrahamOh+'0, DP l x  Participation Contract/INVOICEiartDiana IngrahamoianianTier III Contract MIPTV 2006EiDiana Ingrahamc5anMicrosoft Word 9.0I@캃@| ߺ@@H&(L՜.+,D՜.+,X hp  US Independents  Participation Contract/INVOICE Title 8@ _PID_HLINKSAL"E)mailto:diana.ingraham@usindependents.com#-Bhttp://www.paypal.com/Q6..\US Independents\logo_files\US Indies Logo Jpeg.JPG  !"#$%&'()*+,-./02345678:;<=>?@ABCDEFGHIJKLMNOPQRSTUWXYZ[\]_`abcdehRoot Entry F (jData 11Table99WordDocumentH`SummaryInformation(VDocumentSummaryInformation8^CompObjjObjectPool ( (  FMicrosoft Word Document MSWordDocWord.Document.89q