Form

First Name*

Last Name*

Job title*

Company name*

Email*

Membership*

I am an UHNW Institute Member

I am an employee at a firm that is an Enterprise Member

I am not an Institute Member

I/my firm is interested in becoming an Institute Member

Attendance Type*

I am interested in attending The Symposium in-person

I am interested in attending The Symposium virtually

I cannot attend The Symposium

I am interested in attending the Welcome Reception on the evening of 11/13.*

Yes

No

I am interested in attending the cocktail hour after the Symposium on the evening of 11/14.*

Yes

No

I am interested in attending a dinner after the Symposium on the evening of 11/14.*

Yes

No

I am interested in learning more about sponsorship opportunities for the Symposium. *

Yes

No

Additional questions or thoughts:

All members will receive a calendar save the date from Chloe Evans (cevans@uhnwinstitute.org) for the Welcome Reception and Symposium shortly.