HOTEL CREDIT APPLICATION

Please return via fax to: Convention Credit

Fax: (702) 632-7261

Convention Credit:
Sales Mgr. Date of Function:
Convention Services Mgr:
Direct Billing Approval requires deposit of total event to be paid 30 days prior to arrival. .

BILLING ADDRESS
Name of Company/Organization:
Subsidiary or Division:
Type of Business: Number of Years in Business:
Company Address:
City: State: Zip:
Phone: Fax:
Dun & Bradstreet Number (if applicable):
Accounts Payable Supervisor:

BANK REFERENCE BANK REFERENCE

Name: Name:
Address: Address:
City/State: City/State:
Zip: Phone: Zip: Phone:
Account Number(s) Account Number(s)

HOTEL REFERENCES (Last 2 years only) TRADE REFERENCES

Hotel: Business:
Address: Address:
City/State: City/State:
Phone: Phone:
Date of Function: Date Established:

Hotel: Business:
Address: Address:
City/State: City/State:
Phone: Phone:
Date of Function: Date Established:

Hotel: Business:
Address: Address:
City/State: City/State:
Phone: Phone:
Date of Function: Date Established:

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

AUTHORIZED CHARGES TO MASTER ACCOUNT/SPECIAL BILLING (Please Check All that Apply):

Room and Tax for Entire Group Audio/Visual

Specified Rooms & Tax (Attach Names & Dates) Beverage and Gratuities
Guaranteed Arrivals (Any No-Shows will be Room Service and Gratuities Only
charged to the Master Account) Food, Beverage - FUNCTIONS ONLY
Guaranteed Incidentals (Guarantee will allow Bellman Gratuities
the group to be Pre-Registered and Pre-Keyed.) Business Center
All Charges to Master Account Shark Reef
All Room, Food, Beverage & Gratuities Telephone Charges
All Food and Gratuities Other Charges as Specified(Attach Description)

AUTHORIZED SIGNERS TO MASTER ACCOUNT (Please Print)

Name Name

Name Name
(If you need to provide additional authorized signers, please attach a separate list, including printed name and signature)

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 Title

Date