Summit Registration UFCC 2024 Annual Leadership SummitPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.MAGNIFYING THE VISIONLET'S SEE AT A GREATER MAGNITUDEREGISTRATION FORMName / Organization *Date *Registration Type *Single - $100.00Couple - $100.00PERSONAL INFORMATIONName *FirstLastGender *MaleFemaleName (Spouse)FirstLastStatus *SingleMarriedDivorceOtherEmail *AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeT-Shirt Size *SmallMediumLargeX Large2X Large3X Large4X LargeT-Shirt Size (Spouse)SmallMediumLargeX Large2X Large3X Large4X LargeDates You Will Be Attending *June 18, 2024June 19, 2024June 20, 2024June 21, 2024 (Check-Out Last Day)Please list 1 song that makes you feel happy when you hear it. *Event LocationPosen Shingle Creek Resort - 9939 Universal Blvd Orlando, FLRegistration Fee's DeadlineSINGLE REGISTRATION FEE $100, COUPLE REGISTRATION FEE $180 Summit DatesJune 18,2024 (Check-in 4PM-6PM) June 19-21, 2024 9am-3pmAll fee's can be paid by check or simply by click the link below!FAQ'SWill payment link be sent separately?Yes, all attendees will receive a payment link prior to the event. Once your payment have been collected we will send you out a conformation email.Room Rates (Dates Above)ROH (Single/Double) $159 Additional Person $20If you have any further questions concerning the rates, please contact Nrucker@ufccflorida.org.We will have a superhero theme day! Start looking for your outfits.THANK YOU FOR YOUR INFORMATIONLocation: 20030 NE 23rd Place Williston, FL 32696 Phone: (352) 529-2030 (office) Email: info@ufccflorida.org Website: www.ufccflorida.orgTotal$0.00Stripe Credit Card *Submit
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