Home The Program Register Sponsorships Program Book Advertising Speakers Our Sponsors Gallery Room Reservations DATE TBD 20247:30 AM to 5 PMREGISTRATION $89 (Early Bird Price) Cape Codder Resort & Spa1225 Iyannough Road, Hyannis 2023 Reg Form "*" indicates required fields Name* First Last Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email*An E-mail address is required to conduct Summit communications and it will be added to the Summit Constant Contact list for future correspondence about the Summit. Your email address will not be shared with any other organization or for any other purpose. Breakfast and lunch will have options for gluten free and vegan diets. Do you have any dietary restrictions or food allergies? I consent to having SCORE, CCWA, and CCYP collect my contact information in order to contact me about this and other events.* Yes No Media* I grant the host organizations unrestricted, royalty-free license to my image, persona, and likeness, in any photographs and video recordings taken or to be taken of me by or on behalf of the organizations during the event. This license includes the right to reproduce, store, modify, create derivative works of, and otherwise use the content in whole or part, in any manner for marketing and promotional activities.Type of RegistrationI am registering as a: Attendee Only Exhibitor/Vendor For Profit Sponsor Non-Profit Sponsor Program Book Advertising ONLY AttendeeAttendee Only*($89 March 14 - April 14 and $109 April 15 - May 16) Price: My Name Badge should read:* What is the name of your employer? What is the name of your business? Exhibitor/VendorExhibitor / Vendor*We are excited to share your work with our guests! The fee includes a ticket to the conference ($89 value). Space is limited to 30 vendors to ensure room between tables. Preferred placement for Summit Sponsors. You are welcome to bring one non-conference person to help w/ your table. A breakfast/lunch purchase is available for your helper Price: Helper Lunch Quantity Price: $30.00 Quantity Do you need Electricity?*NoYesWebsite URL* For Profit SponsorFor Profit Sponsorship Level*Platinum $5000Gold $2500Silver $1000Bronze $500Upload your JPEG logo*Max. file size: 50 MB.Website URL* Non Profit SponsorNon Profit Sponsorship Level*Platinum $2500Gold $1250Silver $500Bronze $250Upload your JPEG logo*Max. file size: 50 MB.Website URL* Program Book Advertising ONLYProgram Book Advertising Level*Quarter page $250 (3.5” w x 4.75” h)Eighth Page $125 (3.5 w x 2” h)PaymentDiscount Code Credit CardCard Details Cardholder Name Total Billing Address* Same as previous Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cancellation and Refund Policy* Should it become necessary for you to cancel your participation, any request must be received in writing by email to [email protected] A request for cancellation and refund will be accepted until Saturday, 4/30/22 at 12:00 midnight. After that date, there will be no refunds but substitutions will be accepted.NameThis field is for validation purposes and should be left unchanged.