VIP Registration Form - Refresh 2024: Virginia REALTORS® Annual Convention

Contact Information:

Name(Required)

Nickname (will be used for name badge purposes)

Email(Required)

Phone(Required)

Company(Required)

Meal Restrictions

Please list any meal restrictions/allergies

Please indicate the event(s) you will be attending

Guest Information

Guest Name(Required)

Meal Restrictions: Guest

Please list any meal restrictions/allergies

Arrival and Departure Dates

Please include your arrival and departure dates if known. A staff member will reach out to you to confirm dates or obtain dates if not known at this time.

Arrival Date:

Departure Date

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Contact Information:

Please indicate the event(s) you will be attending

Guest Information

Arrival and Departure Dates

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