For your convenience, please complete the information below to register and reserve an admission for an Entrepreneur & Investor Exchange event. Please submit a separate form for each attendee.

Name:

Email:

Company Name:

Address:

City:

State: Zip:

Phone:

Please provide payment information below:

Member's Admission - $15/person

General Admission (Non member) - $20/person

Please indicate how you would like to pay for the reservation:

Pay Online (next screen after you press the submit button)

Cash or Check (bring check to the event - make check payable to: Entrepreneur & Investor Exchange)

Please provide a name
as it will appear on your Badge:

No refunds on cancellations after 24 hours before the event.

Non-paid reservations, “no-shows,” will be billed to the invitee.

Exchange Event Reservation Form

No refunds on cancellations after 24 hours before the event.