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

Applications are due by Friday, April 16, 2021.

Cost:
Chamber members - $2,655
Non members - $2,950

To reserve your seat in this program, a $1,000 deposit is required, with the balance due by Friday, April 23, 2021

CANCELLATION POLICY
If canceled by March 1, 100% of the registration fee will be refunded.
If canceled between March 2 - April 4, 75% of the registration fee will be refunded.
If canceled after April 4, 50% of the registration fee will be refunded.

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email Address

Question Title

* 4. Job Title

Question Title

* 5. Company

Question Title

* 6. Company Address

Question Title

* 7. Company City

Question Title

* 8. Company Zip Code

Question Title

* 9. Work Phone (please include area code)

Question Title

* 10. Mobile Phone (please include area code)

Question Title

* 11. Executive Assistant Name

Question Title

* 12. Executive Assistant Email Address

Question Title

* 13. Executive Assistant Phone (please include area code)

Question Title

* 14. Referral to Influence program made by

Question Title

* 15. How did you hear about Influence?

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.

Question Title

* 16. Gender Identification

Question Title

* 17. Age

Question Title

* 18. Ethnicity

Question Title

* 19. Sector

Question Title

* 20. Industry

Page1 / 1
 
100% of survey complete.

T