Board Registration Form

Board.org Summit Registration

"*" indicates required fields

Registration Type

I’m a member of a Board.org community

I’m not a member yet

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Member Or Non Member (Hidden)

I’m registering on behalf of another person

My Name*

First Last

My Phone*

My Email*

Attendee Information

Name*

First Last

Company*

Title*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Dietary Requirements

Special Accommodations, e.g. Mother's Room

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Group

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Event

Number of Passes

Please enter a number greater than or equal to 1.

Additional attendees

Name	Email	Actions

There are no Additional attendees.

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Count of Additional attendees

Payment Information

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Member Price

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Non Member Price

Product Name

Price: $0.00

Subtotal

$0.00

Service Fee

$0.00

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Discounted Price

Total

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Total Number

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No of passes -1

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Discount

Discount Code

Member Price *

Non Member Price *

Discount

–

Discounted Price

Service Fee (3%)

Total

Credit Card*

Card Details

Cardholder Name

Use the same contact info for billing info

Billing Name*

First Last

Billing Company

Billing Address*

Billing Address 1 Billing Address 2 Billing City Billing State Billing ZIP Code Billing Country

Billing Phone

Billing Email*

Confidentiality Rules

Find Board.org’s confidentiality policy here and our cancellation policy here.

Please read and accept the Confidentiality Rules*

If I’m approved to attend this meeting as a guest, I agree to keep everything I hear confidential.

I may not reveal the identities of people in the room or details of their conversations.
No conversations I have may be shared with vendors, outside parties, or anyone who hasn’t signed this agreement.
I may summarize, in general, what I hear — without attributing it to any individuals or organizations — for the purpose of sharing only with my internal team.
No content or conversation from this meeting may ever be shared with any form of agency or vendor.

Please enter your name to confirm you agree to this confidentiality policy*

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Event Date

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Event Year

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Venue Name

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Venue Address

Board.org Summit Registration

Registration Type

Attendee Information

Payment Information

Confidentiality Rules

Communities

Company