Washburn McGoldrick 2024 Annual Client Conference Registration Client Conference Registration Form Thursday, June 6, 2024 (11:30 - 6:00 P.M.) at the Joseph I. Lubin House (11 E. 61st Street, New York, NY 10065) "*" indicates required fields CompanyThis field is for validation purposes and should be left unchanged.Registrant InformationFull Name* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Institution / Organization*Job Title*E-mail* Business Phone*Mobile Phone*Additional Needs and ConsiderationsDo you have any allergies, dietary restrictions or other food-related concerns?* Yes No Details - Allergies / Dietary Restrictions / Other ConcernsDo you have any accessibility concerns or special accommodation requests?* Yes No Details - Accessibility / Special AccommodationsConference Name BadgePreferred Name Badge Details (if different from standard formatting noted below)Please include my pronouns on my name badge Yes No PronounsQuestions?Additional questions or concerns?CAPTCHA
