Please complete all required fields below.
Any questions, please reach out to Kelly Soule, soule@icex.com
Your Name
*
First Name
Last Name
Job Title
*
Company Name
*
Cell Phone #
*
-
Area Code
Phone Number
Phone #
*
-
Area Code
Phone Number
Email Address
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If you have an admin with whom you'd like us to communicate, please provide their name & email address below.
Will you be attending In-Person or Remotely?
*
In-Person
Remotely
The following questions are ONLY for In-person attendees:
Will you be attending our Tuesday night dinner (6pm)?
*
Yes
No
Will you be attending the 45-min Chicago River boat cruise prior to dinner on Tuesday (departing hotel at 4:30pm)?
*
Yes
No
When do you plan to arrive?
*
Please provide arrival date and flight info, if available.
When do you plan to depart?
*
Please provide arrival date and flight info, if available.
ICEX has a guest room block reserved at the group rate of $319 + 17.4% tax. Would you like us to reserve one of those rooms for you?
*
Yes
No
Do you have any special requirements?
Please include any dietary restrictions, allergies, hotel loyalty programs, etc.
If your spouse/partner has joined you on this trip, please know that they are more than welcome to join us for dinner.
Will your spouse/partner be joining us for Tuesday's dinner?
Yes
No
If yes, please provide spouse's/partner's full name
Submit
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