CBES Registration

Registration Type*

Co-op Information

Cooperative*

Name of Broadband operation, if applicable

Association Information

Thank you for your interest in attending the Co-op Broadband Executive Summit! We are pleased to offer your association one complimentary registration; guests and additional representatives may join for an additional registration fee.

Association

Website

Attendee Information

Preferred shirt/jacket size (attendee)*

Email*

Please enter the email address for the ATTENDEE. If another person should receive information as well (ie, Executive Assistant) please enter that email in the "Secondary Email" line below.

Phone*

Position/Job Title*

Secondary Email

If another person (ie, Executive Assistant) should receive information about this event, please enter their email here.

Guest Registration

Guests are welcome at breakfast, receptions, and networking events.

Preferred shirt/jacket size (guest)

Add an additional attendee?*

Additional Attendee

Preferred shirt/jacket size (second attendee)

Email - Second Attendee

Phone - Second Attendee

Position/Job Title - Second Attendee

Secondary Email - Second Attendee

If another person (ie, Executive Assistant) should receive information about this event, please enter their email here.

Guest Registration - Second Attendee

Guests are welcome at breakfast, receptions, and networking events.

Preferred shirt/jacket size (second attendee guest)

Let's make this a GREAT event

Agenda Requests

Questions to ask, research to share, or stories to tell - If there are any areas you want to make sure we cover at the Summit, let us know!

Food Sensitivity*

Any food sensitivities or allergens we should know about for attendees or guests?

Finish & Payment

Special Access Code

If you were given a special access code, please enter it here.

Total

July 14-16 in Buffalo, New York