PartnersRegister

Conference 2016 Partner Registration
Tampa, Florida: December 2, 2016- December 4, 2016
SORRY, REGISTRATION IS CLOSED. Please come back for details on our 2017 event.

THIS FORM IS FOR VENDOR PARTNERS ONLY
Please include all conference attendees from your company in your registration form.
Each registration includes conference materials and meals, including Friday dinner, Saturday breakfast, Saturday lunch, Saturday dinner, and Sunday breakfast.
Click here register guests attending dinners only (no conference) or contact us for help.

Company Name *

Partnership Level (please select one) *

Attendee #1
INCLUDED at all partnership levels

Attendee #1 Name *

First

Last

Attendee #1 Email *

Attendee #1 Title *

Attendee #1: Dinner Reception on Saturday 12/3 *

Yes No

Attendee #2: Speed Networking Event on Sunday 12/4 *

Yes No

Attendee #2
Included in Platinum Plus, Platinum, Gold, Silver, and
Service Level II partnership levels
Registration Price for Service Level I and Bronze: $600

Attendee #2 Name *

First

Last

Attendee #2 Email *

Attendee #2 Title *

Attendee #2 Dinner Reception on Saturday 12/3 *

Yes No

Attendee #2: Speed Networking Event on Sunday 12/4 *

Yes No

Attendee #3
Included in Platinum Plus and Platinum partnership level
Registration price for all other levels: $600

Attendee #3 Name *

First

Last

Attendee #3 Email *

Attendee #3 Title *

Attendee #3 Dinner Reception on Saturday 12/3 *

Yes No

Attendee #3: Speed Networking Event on Sunday 12/4 *

Yes No

Attendee #4
Registration Price $600

Attendee #4 Name *

First

Last

Attendee #4 Email *

Attendee #4 Title *

Attendee #4 Dinner Reception on Saturday 12/3 *

Yes No

Attendee #4: Speed Networking Event on Sunday 12/4 *

Yes No

Any special requests, dietary restrictions, etc. for anyone in your group? *

You will be emailed a confirmation of your order and invoice for any additional attendees or purchases within 1 business day. You will also receive a link to book guest rooms at our host venue.

Submit