2024 Conference Registration Form + Payment

Full Name*

First NameLast Name

E-mail*

example@example.com

Country*

Please select any dietary restrictions, if any

I will pay by*

credit card (preferred)wire transfer

Paying with credit card

Conference - Aliant Managing PartnersChoose this option if you are an Aliant Managing Partner. This option includes Wednesday's MP dinner, Thursday's MP conference, lunch & welcome dinner, Friday's conference, lunch & dinner, and Saturday's team building event, lunch and dinner.

$890.00

Conference - AttorneysChoose this option if you are an Aliant Attorney or other non-Managing Partner attendee. This option includes Thursday's welcome dinner, Friday's conference, lunch & dinner, and Saturday's team building activity, lunch & dinner.

$690.00

+GUEST - Social Networking ActivityIf you have a guest join us for the Saturday networking activity (including lunch and dinner) please select this option.

$300.00

Paying with wire transfer

Conference - Managing Partners / Paying via Wire TransferRegistration fee: $890. Choose this option if you are an Aliant Managing Partner. This option includes Wednesday's MP dinner, Thursday's MP conference, lunch & welcome dinner, Friday's conference, lunch & dinner, and Saturday's team building event, lunch and dinner. See wire transfer instructions below.

$ Free Quantity

Conference - Attorneys / Paying via Wire TransferRegistration fee: $690. Choose this option if you are an Aliant Attorney or other non-Managing Partner attendee paying by wire transfer. This option includes Thursday's welcome dinner, Friday's conference, lunch & dinner, and Saturday's team building activity, lunch & dinner. See wire transfer instructions below.

$ Free Quantity

+GUEST - Exploring Vilnius Activity / Paying via Wire TransferFee: $300. If you have a guest join us for the Saturday networking activity (including lunch and dinner) please select this option. See wire transfer instruction below.

$ Free Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Wire Transfer Instructions

Bank Name: BMO Bank N.A.
Bank Address: 320 South Canal Street, Chicago, IL 60606
ABA Routing Number of Bank: 071025661
S.W.I.F.T. Code (International Wires): HATRUS44
Account Name: GLOBAL IP BOX LLC
Account Number: 0045712601

Please read the following event terms & conditions and complete the acknowledgement below.

Terms & Conditions

Terms & Conditions Acknowledgement*

I have read and agree to the terms & conditions