SHIFT 2023 Advisor Registration

Sponsor Speaker/Attendee Registration
The information provided below will populate the attendee badge. Please ensure careful attention to spelling, capitalization, correct title, abbreviations of firm name, etc.*

I understand the information below populates the attendee badge.
Sponsoring Firm Name*
Which type of registration is this?*

Sponsor SpeakerSponsor Attendee
Registrations provided through sponsorship are not transferable/shareable. Please verify that this speaker/attendee is an employee of the above named firm. Speakers must be employees of the sponsoring firm unless pre-approved in writing by Advisor2X.*

This speaker/attendee is an employee of the above named firm.
Attendee/Speaker First Name*
Attendee/Speaker Last Name*
Attendee/Speaker Work Email Address (please note this must be a distinct/unique email address not used for any other attendee.)*
Attendee/Speaker Work Phone*
Attendee/Speaker Title*
Work City*
Work State*
Disability Assistance
Please check here if disability assistance is required. Someone from our team will be in touch to discuss specific needs.
Should be Empty:

Sponsor Speaker/Attendee Registration