Leadership Mini-Conference Registration Please complete this registration form to reserve a date for your organization's participation in a Leadership Mini-Conference. Name Institution/Organization Email Address Date of Event Start and End Times of Event (including time zone) Leadership Mini-Conference Deposit-Please select all that apply. Payment due in full by conference date. SLC Overview Presentation (1 hr)-$2000/$50 deposit – $50 1 Specialty Presentation (1 hr)-$500 add-on/$50 deposit – $50 2 Specialty Presentations (2 hrs)-$1000 add-on/$100 deposit – $100 3 Specialty Presentations (3 hrs)-$1500 add-on/$150 deposit – $150 1 Consulting Session (1 hr)-$500 add-on/$50 deposit – $50 2 Consulting Sessions (2 hrs)-$1000 add-on/$100 deposit – $100 3 Consulting Sessions (3 hrs)-$1500 add-on/$150 deposit – $150 4 Consulting Sessions (4 hrs)-$2000 add-on/$200 deposit – $200 QA or Panel (1 hr)-$500 add-on/$50 deposit – $50 QA or Panel (30 minutes)-$250/$25 deposit – $25 Terms and Conditions I agree to the Terms and Conditions listed at www.thegenzspeaker.com/terms/ Register and Pay Please Wait…