Blueprints, Burgers & Blue Jeans: Featured Visionary Registration Application
Apply to be a Featured Visionary at Blueprints, Burgers & Blue Jeans. Complete the form below to submit your application and review event details, benefits, and agreement.
Applicant Information
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Organization/Business Name
Vision Information
Briefly describe your vision or project.
What impact do you hope to create by being a Featured Visionary?
Featured Visionary Selection
Why do you want to be a Featured Visionary at this event?
Media & Promotion
Share your website or social media links (optional)
Featured Visionary Benefits
Exclusive stage time to share your vision
Networking with fellow visionaries and community leaders
Event promotion across multiple platforms
Professional event photography
Complimentary burger meal
Optional Visionary Spotlight Package
Would you like to add the Visionary Spotlight Package?
*
Yes (+$75)
No
Visionary Spotlight Package includes:
Professional headshot at the event
Spotlight feature in post-event press release
Social media highlight on event channels
Priority seating for your guests (up to 2)
Event Details
Event Name:
Blueprints, Burgers & Blue Jeans
Theme:
Building Visions, One Bite at a Time
Date:
Saturday, July 18, 2026
Time:
5:00 PM - 8:00 PM
Location:
The Foundry Event Center, 123 Main Street, Springfield, USA
Investment
Featured Visionary Registration:
$125
Optional Visionary Spotlight Package:
+$75
Featured Visionary Registration + Spotlight Package:
$200
My Products
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Featured Visionary Registration
$125.00
$
125.00
Optional Visionary Spotlight Package
$75.00
$
75.00
Featured Visionary Registration + Spotlight Package
$200.00
$
200.00
Credit Card
Agreement
By submitting this application, I acknowledge that all information provided is accurate to the best of my knowledge. I agree to participate in Blueprints, Burgers & Blue Jeans as a Featured Visionary if selected and understand that my participation may be promoted through event marketing channels. I agree to abide by the event guidelines and respect the event organizers, participants, and venue. I understand that the event organizers reserve the right to approve or decline applications at their discretion and that all fees are non-refundable. I consent to the use of my image and likeness in event-related materials and promotions.
Electronic Signature
*
Date
*
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Month
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Day
Year
Date
Final Submission
Thank you for submitting your application to be a Featured Visionary! We appreciate your vision and commitment to building a brighter community.
Because when visionaries gather, communities prosper.
Submit Application
Submit Application
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