Monday, October 28, 2024
583 Park Avenue, New York, NY 10065
6 PM - 9 PM
Online registration closes at 5 p.m. on Wednesday, October 9, 2024. Please note that all registrations are binding as of October 18, 2024 and you will be billed for the total number of tickets reserved as of that date. All no-shows will be invoiced unless you cancel your registration before October 18, 2024 or substitute attendee names.
PRICE QUANTITY TOTAL

$25,000 12 0

$15,500 10 0

$9,000 6 0

$7,500 5 0

$6,000 4 0


* required
$3,000 4 0


* required
$320 0

$370 0


* required
$570 0

$620 0

$2,600 0

$1,800 0

$600 0
ADDITIONAL DONATION                                                                  $
TOTAL DUE
You must select a registration item
0
REGISTRATION AGENCY CONTACT
Agency Name  
Please enter full organization name; do not use acronyms.
Agency Address  
Agency City  
Agency State  
Agency Zip  
Contact First Name  
Contact Last Name  
Contact Phone      
Email    
Confirm Email  
Sponsorship Contact
Payment Contact
If known, please insert attendee names below. If you have additional names, need to make edits, or are unsure who will be attending right now, please email names to Nicole Elton by October 9, 2024. Any questions or concerns regarding attendees can also be directed to Nicole.
First NameLast NameAgency NameEmail AddressPronouns
(optional)
Does this attendee
have accessibility
needs?
+
Credit Card
Credit Card  
Card Number  
Expiration Date   MM        YY  
Card Security Code
    

Please review your sponsorship choice, ticket selection and payment information carefully.
Please note: online sponsorship closes October 9, 2024.
Having problems? Contact Ashanti Lee or 646-619-9651.
You should receive an email upon completion of this page. Please note that some spam filters may intercept emails from the Network's registration website. If you do not receive an email from us, it may be in your spam folder.
Please review your sponsorship choice, ticket selection and payment information carefully.
Please note: online sponsorship closes October 9, 2024.
Having problems? Contact Ashanti Lee or 646-619-9651.
You should receive an email upon completion of this page. Please note that some spam filters may intercept emails from the Network's registration website. If you do not receive an email from us, it may be in your spam folder.