2026 Registration Form

Event registration: Please select your event(s)

Conference *Conference - $1,155.00

ERG CertificateERG Certificate - $550.00

Evening NetworkingEvening Networking Social - $30.00

First Name *

Last Name *

Pronouns

Email Address *

Company Name *

Title *

Street Address *

City *

State *

Zip Code *

Mobile Phone *(This is only used if there is an issue with your registration)0 / 10

Which best describes your ERG involvement? *

Choice 1: Which best describes your ERG affiliation? (please select one) *This is your first selection for workshop group affiliation.

Choice 2: Which best describes your ERG affiliation? (please select one that is different from Choice 1 selection) *This is your second choice for workshop group affiliation.

If you have special needs and may require accommodations in order to fully participate, please indicate here. If you need special accommodations, please indicate here how you would like to be contacted to discuss your needs.

If you have food allergies or specialy dietary needs (ex. vegan diet), please indicate here:

Discount CodeIf you have a discount code, please enter it here to apply to your total.

2026 Comp Code

2026 Comp Con Code

2026 Comp 10 Code

2026 Comp 15 Code

2026Special

Order Total

What are your main goals for attending this conference?0 / 100

Note:

You do not need a PayPal account to pay for your registration. PayPal is simply the secure payment processing platform we use to process credit and debit card payments. When prompted, select the option to pay with a credit or debit card and you can complete your payment without creating or logging into a PayPal account.