UGM Attendee Registration 2023

Attendee Registration

Clinic Name

Contact Name

Contact Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

List of Attendees

Please complete the following information for each registering attendee. Names provided on this list will be used for printed badges. Indicate meals needed so that we can plan accordingly. Indicate any dietary restrictions.

Attendees

Attendee Name (First & Last)

Position

Cell Phone

(Fri) Bkfast (Y/N)

(Fri) Lunch (Y/N)

(Fri) Dinner (Y/N)

(Sat) Bkfast (Y/N)

(Sat) Lunch (Y/N)

Please be sure to add your cell phone numbers for a new feature demonstration.

List of Guests

Guests may be included for all meals by registering them below. A $110 fee per guest will be charged to accommodate.

Guests

Guest Name (First & Last)

(Fri) Bkfast (Y/N)

(Fri) Lunch (Y/N)

(Fri) Dinner (Y/N)

(Sat) Bkfast (Y/N)

(Sat) Lunch (Y/N)

Dietary Restrictions

Please indicate any dietary restrictions, allergies or special requests

Foxfire Systems User Group Social Events

Thursday Night Opening Reception
Please join us Thursday night to enjoy hors d’oeuvres and drinks.

Attending

Not Attending

Saturday Night Social Event
We like to plan a small event for our attendees who stay Saturday evening. Please let us know if you are staying and we will be sure to include you. The event is based on number of attendees.

Yes, we will be joining Saturday night’s festivities

No, we will not be joining Saturday night’s festivities

Foxfire Systems User Group Registration Fee

Payment is easy! Once this registration is received, your account will be invoiced.

Register by 5/31/23 to take advantage of our Early Bird Rate! Each Attendee: $275 Each Guest: $110 Registrations received after 6/1/23 will be invoiced as follows: Each Attendee: $385 Each Guest: $110

Don’t forget to reserve your hotel rooms. Foxfire Event Room Rates - $115/night available until 06/12/2023.