HOTEL RENEWAL CREDIT APPLICATION

Please return via fax to: Convention Credit

Fax: (702) 632-7261

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:

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

Room and Tax for Entire Group Beverage and Gratuities

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

AUTHORIZED SIGNERS TO MASTER ACCOUNT (Please Print)

Name Name

Name Name

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