AG Financial Solutions

Planning with Purpose

Registration

Please complete the form below to register for the conference. If you have any questions about registration, please contact 1.877.855.6679 or .

Planning with Purpose 2011

Attendee Information

Registration Information

First Name *

Last Name *

Name of Organization *

Address *

City *

State *

Zip *

Phone Number *

Email Address * *

Additional Attendees

Additional Attendees

Please provide the names of additional people that will be attending from your organization. If there are more than five total people in your group, please email planningwithpurpose@agfinancial.org to complete your registration.

Attendee 2 First Name

Attendee 2 Last Name

Attendee 3 First Name

Attendee 3 Last Name

Attendee 4 First Name

Attendee 4 Last Name

Attendee 5 First Name

Attendee 5 Last Name

Meals

Meals

Please check the meals that your group will be attending. (All meals are included in the $100/organization registration.)

March 6 - Hors d'oeuvres *

March 7 - Lunch *

March 8 - Lunch *

Payment

Payment Information

Please select your payment option below. You can pay securely online or choose to be billed. You will receive further payment instructions on the next screen.

Method of Payment *

Planning with Purpose

Registration

Speakers

AG Financial Solutions