Other Stakeholders Registration

Conference 2024

In order to ensure The Simplifier Summit is Climate Positive, please answer the following questions including your total round trip travel so we may offset the carbon footprint.

Other Registration

Please specify what group of stakeholder your represent

First Name

Last Name

Email

Cell Phone Number

Location Name

Position Position Owner Manager Office Staff Technician

Days attending - Please select one or both options Days attending - Please select one or both options Tuesday Events Wednesday Events

Will you be taking a flight? Will you be taking a flight? YES NO

Departure Airport

Arrival Airport

Are you the Driver or Passenger? Are you the Driver or Passenger? DRIVER PASSENGER

Please enter the approximate round trip driving distance in KM. Please also include travel to and from the airport if flying.

Number of additional travelers with you (example: 0,1,2 ...)

How many nights will you be staying at one of the available hotels?

Message

3 + 4 =