NASSD Executive Summit 2023 Registration

NASSD Executive Summit 2023 Registration

Please only register one attendee per form. Please only use this registration form for attendees participating in meetings at the event. A separate link will be sent out for guest registrations.
Name*

First NameLast Name
Company*
Title*
Cell Phone Number*
Please enter a valid cell phone number. This is only used for event related logistics and will not be used for marketing.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

My Products

Registration (Select only one per registration)

Distributor Registration

$1.00

Manufacturer Registration

$1,200.00

Wednesday Afternoon Activities (Only select one activity below)

NASSD Annual Golf Tournament (Wednesday afternoon) Product Image

NASSD Annual Golf Tournament (Wednesday afternoon)Rental clubs are an additional $75

$225.00 Golf Club Rentals

Sauvignon Wine Locker Experience - enjoy a delightful family style meal and wine pairing experience in beautiful downtown St. Petersburg on Wednesday afternoon.

$225.00

Enter coupon

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Please verify that you are human*
Select Golf Clubs*
Must have selected "Yes" to golf club rentals above.
President's Reception & Dinner Selection*
If you have a disability or dietary need and/or require special accommodation in order to fully participate in this event, please indicate your requirements below:
Would you like to learn about sponsorship options for this event?
I agree to the following terms & conditions:

Cancellation Policy

All cancellations must be in writing. No refunds will be made after October 1, 2023. Cancellations prior to October 1, 2023 will be charged a $75 administrative fee. It is your responsibility to cancel your hotel room and airline reservations.

COVID-19 Policy

I acknowledge that NASSD cannot guarantee that I will not be exposed to or contract a communicable disease at this event.

I agree to abide by all applicable COVID-19 related requirements, advisories, policies, procedures, and protocols of the city hosts, NASSD, as well as the CDC, city partners, and any other governmental authority for the duration of the event.

I knowingly and freely assume all such risks, both known and unknown, and assume full personal responsibility for my participation in the NASSD Executive Summit.

In doing so, I release NASSD, the city hosts, and all of their staff and contractors from liability should I become ill. directly or indirectly, as a result of my participation in this event.
I agree to the above terms & conditions:*
Should be Empty: