CUSTOMER INFORMATION FORM

Thank you for taking the time to join us at

ELDORADO ELEVATION 2021

October 12th-15th at Embassy Suites by Hilton — ­Denver, CO

Store Name

Store Address

Account Manager

Customer Attending

Please fill out a separate form for each customer attending

Full Legal Name (as it appears on ID)

Preferred Name

Role/Position

Date of Birth

Phone Number

Email Address

Mailing Address

Food/Dietary Restrictions

Tshirt Size

Share Room

If yes, which individual will you be sharing a room with?

Nearest Airport / Airport Code

Warehouse Shopping?

Other Accomodations/Notes

sales@eldorado.net | 800.525.0848