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Please return via fax to: Convention Credit Fax: (702) 632-7261


Name of Company/Organization: Subsidiary or Division: Type of Business: Company Address: City: Phone: Dun & Bradstreet Number (if applicable): Accounts Payable Supervisor:

Number of Years in Business: State: Fax: Zip:

AUTHORIZED CHARGES TO MASTER ACCOUNT/SPECIAL BILLING (Please Check All that Apply): Room and Tax for Entire Group Specified Rooms & Tax (Attach Names & Dates) Guaranteed Arrivals (Any No-Shows will be charged to the Master Account) Guaranteed Incidentals (Guarantee will allow the group to be Pre-Registered and Pre-Keyed.) All Charges to Master Account All Room, Food, Beverage & Gratuities All Food and Gratuities Audio/Visual Beverage and Gratuities Room Service and Gratuities Only Food, Beverage - FUNCTIONS ONLY Bellman Gratuities Business Center Spa Showroom/Admission, Beverage and Gratuities Telephone Charges Shark Reef Tickets Other Charges as Specified(Attach Description)






Each person executing this Application hereby represents and warrants to Mandalay Bay Hotel, Inc. that he or she is authorized to execute this Application on behalf of the above named entity (“Group”). The Group shall timely pay any advance deposit required by Mandalay Bay. In addition, Group shall pay all other amounts due in connection with charges made to the Master Account in accordance with the applicable contract terms. Hotel expects payment in immediately available funds in the form of a Wire Transfer, Company Check, Cashiers Check, or Money Order. If payments are not timely received, Mandalay Bay shall have the right to discontinue the billing privileges of the Group and assess an interest charge as prescribed in the applicable contract. The Group hereby authorizes Mandalay Bay to investigate the references and/or other information set forth above and agrees to indemnify, defend and hold Mandalay Bay, its parent, subsidiaries and affiliates and their officers, directors and employees harmless from any and all liability, loss, costs and expenses (including attorneys fees), judgments, claims and demands of any kind whatsoever caused by, resulting from, or in any way connected with such investigation or the results thereof.

Group acknowledges that individuals who sign hotel room registrations shall remain liable for any charges assessed against the related room folio and that should payment under this Master Account Agreement not be timely made by Group, Mandalay Bay reserves the right to recover such individual room folio charges from the room registrant. Completion of this application does not guarantee credit approval until officially notified by credit department.

Signature Date