SUCCESS26

Important Registration Information

Please note that each individual attending the SUCCESS26 Conference must complete a separate registration form. Unfortunately, we do not offer a group registration option. This ensures that we have accurate information for each participant and can provide the best possible experience for everyone.

Thank you for your understanding and cooperation. If you have any questions, please don’t hesitate to reach out to us at enrollmentconference@salisbury.edu.

Contact Information

Are you filling this out for yourself?

Please provide your contact details to receive a copy of the submission you complete for the attendee.

Name:

Email:

Attendee Information

Attendee Last Name

Attendee First Name

Pronouns

Email Address (of the attendee - duplicating emails will results in a registration error)

Mobile Number

Institution

Please list your institution

Department

Title

Conference Presentation

Would you be interested in presenting at the conference?

Please provide your presentation title

Presentation type

Presentation

Roundtable

Workshop

Other

Please describe the modality of your presentation

Do you plan to have co-presenters

Please provide a list of their names

Assistance/Accommodations

Please list any special assistance or accommodations you may need

Please list any special dietary needs you might have

Additional Information

T-Shirt Size

Would you like to join us for a Happy Hour on Tuesday, June 2nd?

Would you like to join us for evening activities in Ocean City on Wednesday, June 3rd?

Will you need transportation from the SU campus to Ocean City?

Additional comments/questions

How did you hear about this conference?

Please list how you heard about the conference

Payment

Once you enter your bank/credit card info, please only hit submit once. Clicking multiple times may result in multiple payments.

Amount Due
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Amount Due

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Billing Information for Salisbury University Registrants

For Salisbury University attendees, the registration fee will be billed via department transfer. Please ensure you provide your budget code and the name of your budget administrator. The budget administrator will be copied on the transfer request to facilitate the process.
Amount Due: $150.00

Please provide account code to be charged

Who is the budget administrator for this account?