2018 PURE Leadership Forum

2018 PURE Leadership Forum

Will you be attending?
Email*
Work Email Address
Yes, I'm attendingNo, I can't attend
Please note, your submission will only be saved upon clicking the "Complete" button on the final page.

General Information
Name*

First NameLast Name
Badge First Name*
Alternative Email
Registration confirmations will be sent to this as well as the work email address provided on the page prior.
Designation(s)
Title*
Company*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone*
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
Dietary Notes
Additional Comments
Category
Category
Zone
Zone
Region
Region
Broker Number
Broker #
Broker Groupquestion
Broker Group
Notes on Invite Status
Notes on Invite Status
Please note, your submission will only be saved upon clicking the "Complete" button on the final page.

Emergency Contact Information
Name*

First NameLast Name
Relationship to you*
Cell Phone Number*
Format: (000) 000-0000.
Alternative Phone Number
Format: (000) 000-0000.
Please note, your submission will only be saved upon clicking the "Complete" button on the final page.

Travel Arrangements

How will you travel to Austin?
FlyDrive
If you have already made your flight arrangements, please either forward your itinerary to Kathy Metcalf, or upload it using the button below.

Air Travel
You will be responsible for arranging your air travel. The Austin–Bergstrom International Airport (AUS) is 15 minutes to the downtown Austin. The Leadership Forum business session will begin at 12:30 PM on Tuesday, March 6 and will conclude at 12:00 PM on Wednesday, March 7. We recommend that you schedule your flight to arrive no later than 11:00 AM on Tuesday and depart no earlier than 1:30 PM on Wednesday.

PURE is pleased to provide you with complimentary ground transfers between the airport and hotel for both your arrival and departure. For departure transfer, it is suggested to leave the hotel 90 minutes prior to flight departure time. A detailed confirmation of your hotel accommodations and ground transfer arrangements will be provided a week prior to the Leadership Forum.
Driving / Parking Information
If you plan to drive to the Leadership Forum, please valet your car, and PURE will host your overnight parking charges.
Arrival Airline
Arrival Flight #
Arriving From
Arrival Date
Arrival Flight Time

:HourMinutesAM/PM Option
Departure Airline
Departure Flight #
Departure Date
Departure Flight Time

:HourMinutesAM/PM Option
Transport Notes
Transport Notes
Upload Flight Itinerary (.jpg, .png, .pdf accepted)
Please note, your submission will only be saved upon clicking the "Complete" button on the final page.

Hotel Arrangements

The PURE Leadership Forum begins at 12:30 PM on Tuesday, March 6 and ends at noon on Wednesday, March 7. We will reserve your hotel accommodations based on the information provided below. PURE will host your room for the night of Tuesday, March 6. If you require additional nights, we will contact you to confirm your request and provide billing arrangements. PURE's discounted rate of $295 is available to you on other days surrounding the event, based on availability. As Austin's South by Southwest event takes place just after our program, availability at the hotel will be very limited after the Leadership Forum, and the discounted rate will not be available after Wednesday night.
Yes, I need a hotel reservationNo, I do not need one
Guest Count
Guest Count
Guest Name

Guest First NameGuest Last Name
Check-In Date*
Check-Out Date*
Additional Comments
Confirmation #
Confirmation #
Billing Notes
Billing Notes
Room Type
Room Type
No Confirm
No Confirm
Please note, your submission will only be saved upon clicking the "Complete" button on the final page.

Permission to Share Details

May we share your details?
We will only share your name and email address with other Leadership Forum attendees.
Yes, you can shareNo, please do not share
Please note, your submission will only be saved upon clicking the "Complete" button below.
Should be Empty:

2018 PURE Leadership Forum

General Information

Emergency Contact Information

Travel Arrangements

Hotel Arrangements

Permission to Share Details