Platform Strategy Research Symposium logo


  $300.00

  Registration Code, if any:
  Personal Information (Required information)
* Email    
* Confirm Email  
* First Name  
* Last Name  
* Salutation
Format US numbers as XXX-YYY-ZZZZ. Include country codes for international numbers.
* Phone number  

  Office Information (Required information)
* Job Title
* Organization  
* Office Address 1  
Office Address 2
* City  
* State/Province  
* Zip/Postal Code  
* Country

  Preferred Mailing Address (*Please indicate where to mail your Materials and certificates.)
Use my Office Address
Use the Preferred Address below.
Preferred Address Type  
* Preferred Address 1  
Preferred Address 2
* City  
* State/Province  
* Zip/Postal Code  
* Country  

 Special Needs (* required information)
Special Needs: We are in full compliance with the legal requirements of the Americans with Disabilities Act rules and regulations. If you have any disability related needs, please explain below. If it is within three weeks of the activity date please call 617.353.4248.

wheelchair
Do you have a disability which may     Yes No
require special services?

  Dietary Needs (* required information)
Do you have food allergies or other dietary needs?
Yes  Please describe:   No

If you have questions regarding registration, please contact Customer Service by calling: 617.353.4248 between the hours of 9:00 AM - 5:00 PM EST Monday through Friday.

>