NWIR 2026 Florida Retreat Registration Form

NWIR 2026 Florida Retreat Registration Form
Attendee Details:
Full Name (as in passport)*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Date of Birth*

MonthDayYear
Company Name *
Room Selection*
Please specify amount of attendees and rooms needed:
Roommate Information

(if applicable)
Roomate's Full Name:
Roommate's Phone:
Roommate's email:
Payment & Deadlines:
- $50 deposit per person per cabin due by December 10, 2025.
- Final Payment due February 1, 2026.
- All payments and deposits are handled directly by travel agent, Lisa Mazuz.
To Reserve Your Cabin, Contact:

Lisa Mazuz, Mazuz World Adventures Travel LLC

Phone: (561) 660-2213 | Email: lisa.mazuz@avoyanetwork.com
Additional Interest (check all that apply):

Interested in sponsoring the retreatInterested in joining the planning committeeCurrently involved in a Regional NWIR Council
If you're already involved, which NWIR council?
By checking below, I have acknowledged that I have read and signed to the attached National Women in Roofing (NWIR) Regional Cruise Event Disclaimer Waiver.

acknowledge and agree to terms and liability waiver
Liability Waiver *
Should be Empty:

Roommate Information