Select the Event * ( Required )
Brevard, FL Broward North, FL Broward South/Miami North- Reg closed, Fl Central FL (Sumter, Lake, Marion, Alachua), FL Charlotte, NC Chatham County, Georgia Cincinnati, Ohio Cleveland, OH Cobb County, Georgia Columbia, SC, South Carolina Columbus, OH DeKalb + Fulton Counties, Georgia Detroit, Michigan Grand Rapids, Michigan Greenville, SC, South Carolina Hillsborough, FL Jacksonville, FL Lansing, Michigan Miami-REGISTRATION CLOSED, Naples (Collier), FL Newport News, VA, VA Norfolk, VA, VA Orlando-REGISTRATION IS CLOSED, FL Palm Beach- registration closed, FL Pasco (Pasco, Hernando), FL Pinellas-Lower County/breakfast, FL Pinellas-Upper County, FL Richmond, VA, VA Roanoke, VA Sarasota (Sarasota, Manatee), FL Southwest FL (Charlotte, Lee), FL Treasure Coast (Martin, St. Lucie, Indian River), FL Triangle-Raleigh/Durham, NC Winston-Salem, NC
Business Name * ( Required )
Participation Levels:
Bronze Sponsorship ($300) (formerly ADOPT A TABLE) Includes one lunch
Silver Sponsorship ($700) Includes one lunch
Any extra lunches not included with sponsorship $50
If you are bringing a SW or CM, they must register separately on the home page
Gold Sponsorship ($800) Includes two lunches
Platinum Sponsorship ($900) Includes two lunches
Diamond Sponsorship ($1300) Includes four lunches
Corporate Sponsorship ($7500) for 10 events in Florida
Corporate Sponsorship ($10000) for all 16 events in Florida
* List the names of those attending the luncheon below:
#1 ( Main Attendee Contact ), # (will only be used for emergencies and confirmations, this number will NOT be shared to anyone)
Attendee*
Level*
Last Name*
First Name*
Title*
Email*
Cell#*
#1
Extra Attendee
Bronze/Formerly Adopt a table Sponsor
Silver Sponsor
Gold Sponsor
Platinum Sponsor
Diamond Sponsor
Corporate Sponsor
#2
Extra Attendee
Bronze/Formerly Adopt a table Sponsor
Silver Sponsor
Gold Sponsor
Platinum Sponsor
Diamond Sponsor
Corporate Sponsor
#3
Extra Attendee
Bronze/Formerly Adopt a table Sponsor
Silver Sponsor
Gold Sponsor
Platinum Sponsor
Diamond Sponsor
Corporate Sponsor
#4
Extra Attendee
Bronze/Formerly Adopt a table Sponsor
Silver Sponsor
Gold Sponsor
Platinum Sponsor
Diamond Sponsor
Corporate Sponsor
#5
Extra Attendee
Bronze/Formerly Adopt a table Sponsor
Silver Sponsor
Gold Sponsor
Platinum Sponsor
Diamond Sponsor
Corporate Sponsor
For security reasons type in the correct answer: * ( Required )
Broward North
Broward South/Miami North- Reg closed
Central FL (Sumter, Lake, Marion, Alachua)
Charlotte
Chatham County
Cincinnati
Cleveland
Cobb County
Columbia, SC
Columbus
DeKalb + Fulton Counties
Detroit, Michigan
Grand Rapids, Michigan
Greenville, SC
Hillsborough
Jacksonville
Lansing, Michigan
Miami-REGISTRATION CLOSED
Naples (Collier)
Newport News, VA
Norfolk, VA
Orlando-REGISTRATION IS CLOSED
Palm Beach- registration closed
Pasco (Pasco, Hernando)
Pinellas-Lower County/breakfast
Pinellas-Upper County
Richmond, VA
Roanoke
Sarasota (Sarasota, Manatee)
Southwest FL (Charlotte, Lee)
Treasure Coast (Martin, St. Lucie, Indian River)
Triangle-Raleigh/Durham
Winston-Salem
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