CONFERENCE REGISTRATION

Please complete and submit your conference registration by March 15, 2025.

Name

First Name

Last Name

Agency

Email Address

Cell Phone

(###)

###

####

Do you have a spouse/guest(s) accompanying you?

Yes

Name(s) of spouse/guest(s) accompanying you, if applicable

GROUND TRANSPORTATION
Lancer will be providing complimentary ground transportation between Jacksonville International Airport and the Embassy Suites Resort on Sunday, April 27 and Monday, April 28 for arrivals and on Tuesday, April 29 and Wednesday, April 30 for departures.

Please indicate your ground transportation needs below.

NO, I will not require ground transportation.

YES, I will require ground transportation as follows:

ARRIVAL INFORMATION
Airport Arriving From

Arrival Date

YYYY

Arrival Time

Please include AM or PM

Airline

Arrival Flight No.

Number of Passengers

DEPARTURE INFORMATION
Airport Departing To

Departure Date

YYYY

Departure Time

Please include AM or PM

Airline

Departure Flight No.

Number of Passengers

CONFERENCE ACTIVITIES
Please indicate your attendance for each activity listed below. See the Preliminary Conference Schedule for more information.

Sunday, April 27

Early Arrival Reception & Dinner