FA19 - Sponsors & Speakers

This registration form should be completed by advisors and assistants who are under the Financial Advocates OSJ.

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* 1. Your Information

Name *

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. Please define below.

I am a sponsor

I am speaker

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* 3. Do you plan on attending Happy Hour on Monday night?

Yes

No

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* 4. Will you need hotel accommodations while attending the conference? A room block available for the nights of Sunday, April 28th & Monday, April 29th.

Yes

No

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* 5. If yes, which night(s)?

Sunday, April 28th

Monday, April 29th

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* 6. Do you have any allergies or dietary restrictions we should be aware of?

Thank you!