FOMAA Women’s Summit 2025

FOMAA Women’s Summit 2025
September 26th-28th,2025

The Woodlands Inn and Resort - Poconos Mountains
1073 Highway 315 Wilkes-Barre, PA 18702
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dinner Banquet Menu (1 per person)*

ChickenFishVegetarian
Airport Pickup?*

Yes Please! - Pick me up on arrivalNo Thanks - I'll make my own way there
If Yes, Pickup Airport?*

Philadelphia (PHL)Newark (EWR)
Flight Number
Arrival Date & Time

MonthDayYear
Date
Hour MinutesAM/PM Option
Departure Date & Time

MonthDayYear
Date
Hour MinutesAM/PM Option
Room Type*
Registration Method*

Jointly- Will Register TogetherSeparate Registrations
If registering separately, please provide the name of your preferred roommate:
We’ll try to get you into the same room, though it’s not guaranteed.

Shared Room Occupant Details :
2. Name*

First NameLast Name
2. E-mail*
example@example.com
2. Phone Number*
Please enter a valid phone number.
2. Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
2. Dinner Banquet Menu (1 per person)*

ChickenFishVegetarian
2. Airport Pickup?*

Yes Please! - Pick me up on arrivalNo Thanks - I'll make my own way there
2. If Yes, Pickup Airport?*

Philadelphia (PHL)Newark (EWR)
2. Flight Number
2. Arrival Date & Time

MonthDayYear
Date
Hour MinutesAM/PM Option
2. Departure Date & Time

MonthDayYear
Date
Hour MinutesAM/PM Option