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2023 Cancun Main – Registration Page

Release of Liability
I agree to hold Signature Estates of Indiana/Benefit Plans of America, Inc. doing business as Gordon Marketing, harmless for any and all injury and or damage to me or my property that may occur in conjunction with Gordon Marketing’s 2023 Sales Trip to Cancun, Mexico. I understand that there may be unforeseeable circumstances that are beyond the control of Gordon Marketing. I accept this trip at my own risk. By signing below, I agree to release Gordon Marketing, its owners, officers, heirs and assigns from all liability related to the above trip. By registering you have agreed to the release of liability
Qualifying Agent Name(Required)
Preferred name for name badge(Required)
Spouse/Guest Name
Spouse/Guess preferred name for name badge
Checking yes you agree to the liability disclosure(Required)
- Yes I agree
- No I do NOT agree
1st Passenger Information (please provide copy of passport)
Legal Name (Exactly as it appears on identification)(Required)
First Middle Last
Preferred Name On Name Badge(Required)
First Last
Date of Birth(Required)
Cell Phone Number(Required)
Email(Required)
Address(Required)
Street Address Address Line 2 City State ZIP Code
Airport Choice #1
Airport Choice #2
Emergency Contact Name(Required)
Emergency Contact Phone(Required)
Emergency Contact Relationship(Required)
Special Requests (extended dates, special diets, wheelchair, etc.)
Upload Copy of Passport(Required)
Max. file size: 16 MB.
You must have at least 6 months remaining before passport expires in order to travel. If you do not have a valid passport, please let us know as soon as possible so we can advise on timeline, steps, and hurdles.
2nd Passenger Information (please provide copy of passport)
Legal Name (Exactly as it appears on identification)
First Middle Last
Preferred Name On Name Badge
First Last
Date of Birth
Cell Phone Number
Email
Address
Street Address Address Line 2 City State ZIP Code
Airport Choice #1
Airport Choice #2
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Relationship
Special Requests (extended dates, special diets, wheelchair, etc.)
Upload Copy of Guest Passport
Max. file size: 16 MB.
You must have at least 6 months remaining before passport expires in order to travel. If you do not have a valid passport, please let us know as soon as possible so we can advise on timeline, steps, and hurdles.
Credit Card Authorization Information
Please fill out the Credit Card information if applicable, (if you are staying extra days, you are buying in to the trip, etc.) (filling in your name authorizes this transaction)
Name as it Appears on Credit Card
First Middle Last
Type of Credit Card
- Visa
- Master Card
- American Express
- Discover
Credit Card Number
Month of Expiration
Year of Expiration
Security Code
Billing Address
Street Address Address Line 2 City State ZIP Code
Amount Authorized
Notes
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Terms and Conditions

Gordon Marketing reserves the right to change or discontinue the trip at its sole discretion and without notice. The trip is for agents in good standing and actively representing Gordon Marketing at the time of the trip. Trip is for agent and a guest over the age of 18. In no event may agents bring children under the age of 18. Agents must not have a debt with Gordon Marketing.

Trip is non-transferable and not redeemable for cash or any other prizes. Attendee is responsible for taxes and will receive a 1099. Should the attendee cancel after having registered, he/she will continue to receive a 1099 for the non-refundable costs incurred. Gordon Marketing requires agents attend all scheduled events meetings, guest attendance is not mandatory at business meeting.

2023 Cancun Main – Registration Page

Release of Liability

1st Passenger Information (please provide copy of passport)

2nd Passenger Information (please provide copy of passport)

Credit Card Authorization Information

Call 1-800-388-8342