The “XA Update and SOLVE PROBLEMS” Conference

Below is the online registration form or you can download the form with the link button on the right. 

Please fill out the Form below.

Please fill in company information, email addresses, phone, number attending dinner. These are required.

Company Name(required)

Confirmation Email Address(required)

Invoice Email Address(required)

Contact Phone Number(required)

Please fill in the name & email address of those attending - if attending the dinner on Tuesday - please check the box so we know how many to plan for.

Attendees - Please fill out information for each attendee


Attendee 1

"Will you be attending the Dinner?"YesNo


Attendee 2

"Will you be attending the Dinner?"YesNo


Attendee 3

"Will you be attending the Dinner?"YesNo


Attendee 4

"Will you be attending the Dinner?"YesNo


Attendee 5

"Will you be attending the Dinner?"YesNo


Attendee 6

"Will you be attending the Dinner?"YesNo


Conference Costs:

Attendees  $150/person or 550$ for 4 or more per company
 
Questions? Call 616-532-5006 x4004
Ask for Lori Burd.