Showcase your company at the

Southwest Electric Safety Exchange(SWESE) Conference

April 22-25, 2019JW Marriott San Antonio Hill Country Resort & Spa

hosted by Pedernales Electric Cooperative

Don’t miss the chance to highlight your company in front of hundreds of attendees, and show your commitment to safety as a 2019 SWESE conference sponsor.

Event sponsorships are limited and available at the following commitment levels:

$250 Apprentice

$500Journeyworker

$750 Line

superintendent

$1,000 Utility

manager

pec.coop/swese

Southwest Electric Safety Exchange Conference

Complete the form below to indicate your sponsorship commitment. Payment must be received no later than April 5.

For check payment, make check payable to: JW Marriott San Antonio Resort & Spa Mail your check and form to: JW Marriott San Antonio att: Eric Oppelt23808 Resort Parkway San Antonio, TX 78261

For credit card payment: Please use the credit card authorization form and fax the completed form to Rooms Control at 210-483-6636.

For wire transfer payment,please transfer to: San Antonio JW MarriottWells Fargo Bank info:20826 North Highway 281San Antonio, TX 78258Acct #: 4121987275ACH Routing: 121000248Wire Routing: 121000248Swift #: WFBIUS6S

To register for the SWESE conference and to book your hotel, visit pec.coop/swese.

Company name: _________________________________________________________________________

Company representative: _________________________________________________________________________

Mailing address: _________________________________________________________________________

Email address: _________________________________________________________________________

For questions, contact: PECMarshall Verettemarshall.verette@peci.com830-220-0677

SWESEDanny Matthewsdmatthews@jlmatthews.com800-421-3360

If you’d like to present at the conference, presentation materials must be submitted for review by March 22 to marshall.verette@peci.com. Presentations must be educational, not promotional.

$250 Apprentice

$500Journeyworker

$750 Line

superintendent

$1,000 Utility

manager

Third Party Credit Card Authorization Form

Please do not send a photocopy of the front or back of your credit card.

Marriott Confidential and Proprietary Information

This form has been created in order to allow you to have third party expenses charged to your credit/debit card. I understand that the hotel is not required to accept this form and the guest should check with the hotel to ensure they accept third part transactions. 210 - 276 - 2500 Please provide all the information requested below to ensure prompt processing of your application. We ask you to please sign and date the form before submission. Please fax the completed form to Rooms Control at 210 - 483 - 6636. FOR SECURITY reasons, Marriott International conforms to all Payment Card Industry (PCI) standards. However, we recommend that the credit card holder purchase a gift card for the guest (if possible) rather than send their credit card number via this third party form. CARDHOLDER INFORMATION - Required Name as it appears on the credit/debit card:

Card Type: Visa MC Amex Diners/CB Discover JCB

Account Type: Individual - Debit / Credit Corporate - Company Name:

Issuing Bank: Phone:

Account Number: Exp. Date:

Address (statement):

City, State, Zip:

Phone Number: Fax or Alternate Number:

GUEST INFORMATION - Required Guest Name:

Address:

City, State, Zip:

Company:

Phone Number: Fax or Alternate Number:

Confirmation Number: Arrival Date: Departure Date:

Relation to Cardholder: Relative Friend Business Associate Other I understand that should there be any issues with the credit/debit card being used to settle my charges, I will be responsible for all expenses incurred during my stay. Departure date cannot be extended unless a new authorization form is completed. Guest Name: (Printed)

Guest Signature: Date:

RATE INFORMATION AND APPROVED CHARGES - Required Room Rate:* Taxes:* Total Daily Rate:* Number of Nights: *(Rate and tax amount must be provided by a hotel representative in order to complete this form.)

All Charges Room & Tax Telephone (LD) Telephone (Local) Restaurant

Room Service Valet/Laundry Parking HS Internet Access Movies

Other I certify that all information is complete and accurate. I hereby authorize JW Marriott San Antonio Hill Country Resort & Spa to collect payment for all charges as indicated in the Rate Information and Approved Charges section of this form by processing a charge to the credit/debit card listed above. Charges must not exceed $_______________ for the entire stay/event. I understand that a new form will have to be completed if guest wishes to extend his/her stay. I certify that I am the authorized signer of the credit/debit card listed above. Cardholder Name: (Printed)

Cardholder Signature: Date: