Influence 2023 Application
Thursday - Saturday, March 2 - 4, 2023

A 3-day crash course on San Diego’s business & civic landscape for C-level and senior

Applications are due by Friday, February 3, 2023.

Cost:
Chamber members - $3,105
Non members - $3,450

To reserve your seat in this program, a $1,000 deposit is required, with the balance due by Friday, February 24, 2023 

CANCELLATION POLICY
If canceled by January 6, 100% of the registration fee will be refunded.
If canceled between January 7 - February 3, 75% of the registration fee will be refunded.
If canceled after February 3, 50% of the registration fee will be refunded.
1.First Name(Required.)
2.Last Name(Required.)
3.Email Address(Required.)
4.Job Title(Required.)
5.Company(Required.)
6.Company Address(Required.)
7.Company City(Required.)
8.Company Zip Code(Required.)
9.Work Phone (please include area code)(Required.)
10.Mobile Phone (please include area code)(Required.)
11.Executive Assistant Name
12.Executive Assistant Email Address
13.Executive Assistant Phone (please include area code)
14.Referral to Influence program made by
15.How did you hear about Influence?(Required.)
LEAD San Diego seeks a cohort that is reflective of the diversity of the San Diego region. Accordingly, it is important to identify constituents from various demographic groups. Your responses to the following will assist in addressing this cohort mix; however, your response is OPTIONAL.
16.Gender Identification
17.Age
18.Ethnicity
19.Sector
20.Industry
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