State of the Industry 2025 Registration Form

First Name *

Last Name *

Complementary Spouse Registration? yes
no

Spouse Name

Company Name *

Address *

Address Line 2

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Preferred First Name on Badge

Special Requests

Dietary Restrictions

Will you be flying or driving to the conference? * Flying
Driving

Will you be staying at the Marriott Harbor Beach Resort? * Yes
No

Will you be attending the Welcome Reception & Dinner on Sunday, February 2? Yes
No

This will be my first time attending this event.

I am a speaker at this event.

I am staff at this event.

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