Intellenet 2018 Conference Registration

Carefully enter all attendee details below as there are several options to choose from this year for both members and guests. Choices include options to make meal selections; identify special dietary needs; and allow spouse/guest attendees to add the optional events, dinners and lunches they want to attend if not attending the full conference. Please review all data entered for accuracy before submitting your payment information. Print the confirmation receipt and retain a copy for your records. (Speakers and special guests, please use the member fields below to register.)

Member Registration Information


Member First Name (As to appear on Certificate of Attendance):  


Member Last Name (As to appear on Certificate of Attendance):  


Phone Number (Best phone number to reach you while traveling):  


Name Tag (First and Last Name to include City/State/Country as it will appear on your name tag.):  


Member Conference Registration:

NOTE: $280.00 Full Conference Registration Fee includes four breakfasts, two lunches, two cocktail hours and dinners (Welcome – Tuesday, April 10th and Gala Banquet – Thursday, April 12) and related conference charges on a cost recoverable basis. OPTIONAL - Wed., April 11 Group Island Tour is $27.00.

 

Any special dietary needs?


Tuesday 4/10/2018 Welcome Dinner main entree selection:  

Thursday 4/12/2018 Gala Dinner main entree selection:  

Do you require a CEU certificate?  

How many years have you been an Intellenet member?  


How many conferences have you attended?  




Do you want to register a spouse or a guest?


Payment Information


First Name:  


Last Name:  


Company Name:


Address:  


City:  


State/Province:


Zip/Postal Code:  


Country:


Email:    


Credit Card Type:


Credit Card Number:  


Credit Card Security Code(CVV):  


Expiration Date: