EN—(714) HOST EVENT TICKET ORDER FORM 2015 Rotary International Convention São Paulo, Brazil 6-9 June 2015 Reserve online at www.rotary2015saopaulo.org.br or fax your form to +55-11-3217-4333. If you have any questions about host-ticketed events, contact us by email ([email protected]) or phone (+55-11-3056-6000). Price per person No. of Total cost Date Time Event (US$) tickets (US$) Saturday, 6 June 19:00 Rotary’s Carnival 40 An unforgettable night where you will experience a typical Brazilian Carnival party and all the glamour and energy of a Samba School Parade. The event will take place in the VIP area of the São Paulo Sambadrome (adjacent to the main convention venue), where the Carnival parade takes place every year. Water and soft drinks are included in the ticket price. Food and beverages will be available for sale. Transportation via the RI transportation system. Conductor João Carlos Martins and Sunday, 7 June 20:00 135 Vai-Vai Percussionists Concert Designed in 1925, Sala São Paulo is one of the most important concert halls in Brazil. It is the perfect setting for a concert that mixes the beauty and sophistication of classical music with the Brazilian flavor and rhythm of Carnival. Tickets are limited. Transportation between official hotels and the venue arranged by the Host Organization Committee. Monday, 8 June 20:00 Ivete Sangalo Concert 165 Ivete Sangalo is one of Brazil’s greatest entertainers and winner of two Latin Grammy Awards. She has been the most successful singer in the country in the last decade, with over 16 million albums sold. Location: Espaço das Américas. Tickets are limited. Transportation between official hotels and the venue arranged by the Host Organization Committee. A service fee of $2.50 will be charged for each ticket. Total All prices are in U.S. dollars and include all taxes. Contact the Host Organization Committee for specific information about the events. Full details of all events will be provided at www.rotary2015saopaulo.org.br. I would like to receive additional information by email. YES PERSONAL INFORMATION Please fill in all required information (* = mandatory field). Please type or print using CAPITAL LETTERS. First Name* Family Name* Rotary District Address* City* State/Province* Postal Code* Country* Home Phone* (Country Code) (Area/City Code) (Number) Fax (Country Code) (Area/City Code) (Number) Email* (You will receive an email confirmation of your host event ticket order.) PREFERRED SPOKEN LANGUAGE (CHOOSE ONE): English French German Italian Japanese Korean Portuguese Spanish Swedish Chinese (Mandarin) Other (please specify) SPECIAL NEEDS: Wheelchair Other (please specify) DIETARY NEEDS: Vegetarian No red meat No pork No shellfish No seafood Other (please specify) EMERGENCY CONTACT INFORMATION: Name Phone (include country/city codes) HOTEL INFORMATION (IF KNOWN): Hotel Name Town/City PAYMENT DETAILS Checks cannot be accepted. Please choose one: Visa MasterCard American Express Cardholder’s Name (as it appears on card) Cardholder’s Signature Card Number Expiration Date Security Code (3 or 4 digits) By submitting this electronic registration form online or by your signature below, you authorize the Host Organization Committee to charge your credit card for the total amount of your host event ticket order. Signature* Date (dd/mm/yyyy)* Full Name (please print)* TERMS & CONDITIONS / TICKETING INFORMATION 1. Host event tickets may be purchased only by convention registrants themselves, their registered convention guests, and members of their immediate families. Ticket requests will be processed in the order in which they are received, until the event reaches capacity. Host event tickets are transferable. 2. Host event tickets may be purchased online until 15 May 2015. After that, tickets may be purchased on-site at the Host Events Ticket Booth based on availability, 5-9 June 2015. 3. All host event ticket orders will be confirmed in the order in which they are received. Upon receipt of payment, e-tickets will be provided to each participant via email. 4. You may cancel your ticket order to any host event until 15 May 2015 (remember that tickets are transferable). If you cancel before 15 May 2015, you will be charged a 20% cancellation fee. Cancellations received after 15 May 2015 are nonrefundable. 5. The Host Organization Committee will refund ticket orders in full if the 2015 RI Convention or any promoted event is canceled, but takes no responsibility for any travel-related costs incurred by Rotarians and their guests. 6. Prices for host event tickets purchased on-site at the 2015 RI Convention will be approximately 20% higher than online prices..