CEPI 2023-Group

Group Registration
Click here for Individual Registration

April 24-27, 2023
When: April 24-27, 2023
Where: Hilton Garden Inn Nashville Vanderbilt, 1715 Broadway, Nashville, TN 37203
Registration Fee: $995
Organization's Name*
Organization's Website
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How did you hear about the Institute?*

Registrant 1
Name*

First NameLast Name
Designations & Accreditations Held: (JD, CFRE, CPA, FAHP, etc)
Name on Badge*
Name to Appear on Certificate (will be used exactly as typed)*
Would you like to receive Continuing Education credits?*

YesNo
If yes for CE credits, please enter what profession and state.
Position
E-mail*
example@example.com
For meals provided, do you have any special dietary requirements we should consider?
You will receive a link to the digital copy of the Institute curriculum (which will be provided to you upon arrival at the Institute), would you also like a 500+ page bound hard copy to take home with you after the Institute is over?*

YesNo
Once registration is closed, we provide a list of all attendees and their email addresses to all registered attendees of the Institute. Can we share your email address on that listing?*

Yes, you may share my email address with all other attendeesNo, do not share my email address with all other attendees

Registrant 2
Name

First NameLast Name
Designations & Accreditations Held: (JD, CFRE, CPA, FAHP, etc)
Name on Badge*
Name to Appear on Certificate (will be used exactly as typed)*
Would you like to receive Continuing Education credits?*

YesNo
If yes for CE credits, please enter what profession and state.
Position
E-mail*
example@example.com
For meals provided, do you have any special dietary requirements we should consider?
You will receive a link to the digital copy of the Institute's curriculum (which will be provided to you upon arrival at the Institute), would you also like a 500+ page bound hard copy to take home with you after the Institute is over?*

YesNo
Once registration is closed, we provide a list of all attendees and their email addresses to all registered attendees of the Institute. Can we share your email address on that listing?*

Yes, you may share my email address with all other attendeesNo, do not share my email address with all other attendees

Registrant 3
Name

First NameLast Name
Designations & Accreditations Held: (JD, CFRE, CPA, FAHP, etc)
Name on Badge*
Name to Appear on Certificate (will be used exactly as typed)*
Would you like to receive Continuing Education credits?*

YesNo
If yes for CE credits, please enter what profession and state.
Position
E-mail*
example@example.com
For meals provided, do you have any special dietary requirements we should consider?
You will receive a link to the digital copy of the Institute's curriculum (which will be provided to you upon arrival at the Institute), would you also like a 500+ page bound hard copy to take home with you after the Institute is over?

YesNo
Once registration is closed, we provide a list of all attendees and their email addresses to all registered attendees of the Institute. Can we share your email address on that listing?

Yes, you may share my email address with all other attendeesNo, do not share my email address with all other attendees

Registrant 4
Name

First NameLast Name
Designations & Accreditations Held: (JD, CFRE, CPA, FAHP, etc)
Name on Badge*
Name to Appear on Certificate (will be used exactly as typed)*
Would you like to receive Continuing Education credits?*

YesNo
If yes for CE credits, please enter what profession and state.
Position
E-mail*
example@example.com
For meals provided, do you have any special dietary requirements we should consider?
You will receive a link to the digital copy of the Institute's curriculum (which would be provided to you upon arrival at the Institute), would you also like a 500+ page bound hard copy to take home with you after the Institute is over?

YesNo
Once registration is closed, we provide a list of all attendees and their email addresses to all registered attendees of the Institute. Can we share your email address on that listing?

Yes, you may share my email address with all other attendeesNo, do not share my email address with all other attendees

Registrant 5
Name

First NameLast Name
Designations & Accreditations Held: (JD, CFRE, CPA, FAHP, etc)
Name on Badge*
Name to Appear on Certificate (will be used exactly as typed)*
Would you like to receive Continuing Education credits?*

YesNo
If yes for CE credits, please enter what profession and state.
Position
E-mail*
example@example.com
For meals provided, do you have any special dietary requirements we should consider?
You will receive a link to the digital copy of the Institute's curriculum (which will be provided to you upon arrival at the Institute), would you also like a 500+ page bound hard copy to take home with you after the Institute is over?

YesNo
Once registration is closed, we provide a list of all attendees and their email addresses to all registered attendees of the Institute. Can we share your email address on that listing?

Yes, you may share my email address with all other attendeesNo, do not share my email address with all other attendees

End
If you need to register additional attendees, please complete and submit this registration. Then, complete and submit a second registration for the remaining attendees. Or, email Stephanie Bailey for assistance.
Payment Method*

CheckCredit Card
Name of Person Submitting Registration*
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Upon selecting Register, each of your registrants will receive a confirmation email notifying them that you have completed this on their behalf. An invoice with your discounted group rate will be emailed to you to pay with check or credit card along with your own confirmation email.
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