EXHIBITOR EVENT REGISTRATION

Corporate - Exhibitor Registration

Representative Badge 1

Company Name *

First Name *

Last Name *

Job Title*

Email Address *

Work Phone Number *

Cell Phone Number *

Representative Badge 2

Company (Representative Badge 2)

First Name (Representative Badge 2)

Last Name (Representative Badge 2)

Job Title (Representative Badge 2)

Email Address (Representative Badge 2)

Work Phone Number (Representative Badge 2)

Cell Phone (Representative Badge 2)

Additional Representative Registration ($1,000)

Would you like to register an additional representative? *You will be charged a $1,000 fee *

Platinum - Would you like to register an additional representative?

Additional Representative Information

Company (Additional Representative) *

First Name (Additional Representative) *

Last Name (Additional Representative) *

Job Title (Additional Representative) *

Email Address (Additional Representative) *

Work Phone Number (Additional Representative) *

Cell Phone Number (Additional Representative) *

Additional Agreements

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

I understand I AM RESPONSIBLE FOR MAKING MY OWN HOTEL RESERVATIONS. Live Love Spa has secured a group rate for my convenience with very limited availability at a first come first serve basis and/or cut off date while rooms last.

Payment & Check Out

IMPORTANT: Please select the product(s) below for the additional items you added to your registration form. Any items not selected and paid for below will not be provided. *

Additional Representative

$1000