2021 Attendee Registration
Tickets are interchangeable from virtual to physical.
Name as you'd like it on your badge (please note a badge is unnecessary for virtual attendees and will not be issued).
Company (if you do not have a company name yet, please leave blank)
Email for correspondence (please ensure your email is set up to receive emails from firstname.lastname@example.org)
Street Address Line 2
State / Province
Postal / Zip Code
Are you planning on attending virtually or physically? (Please note you can change your ticket up until July 25, 2021. No changes can be made after that date).
I will be attending virtually.
I will be attending physically.
I am unsure at this time.
Phone Number (For Text Messages)
I understand the following:
All sessions are recorded.
Tickets are non-refundable but transferrable between physical and virtual ticket.
The virtual portion of the convention is via Zoom.
The time zone we use is the current time zone in Arizona
Virtual Attendees receive the SWAG box but if items are given out at the convention, those items are not available for virtual attendees.
I understand that my registration must be paid in full no later than June 1, 2021 or my ticket will be canceled and applied to the following year.
I understand that if my payments are late, I will be charged a $10 fee.
Do you require any specific assistance? Any special dietary concerns?
( X )
Monthly Payment $249
Payment plan beginning 5/1 will be 2 payments of $125.00
Credit Card Details
Credit Card Number
Should be Empty: