Member Registration Form

Thank you so much for purchasing your membership and ordering your ticket(s) to the Summit!

One last step and your registration will be complete! One of our team will send out a confirmation email within 24 hours of receiving your payment and member registration form. Please check your spam folder to be sure you do not miss this.

First name(required)

Last name(required)

Business name (if applicable)

What community do you reside in or closest to?(required)

Email (the one used to make your payment)(required)

Phone Number(required)

For event planning purposes, if you have purchased a family registration for our summit, please tell us how many in your party total and the ages of the children.

Please choose the one that matches your registration today.(required)

Annual membership only Registration to the summit including annual membership

Can we sign you up for Imaginarium.Network newsletter?(required)

Yes No

Submit registration

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If you have any problems completing the registration process please send us an email and we will be happy to help.

connect@imaginarium.network

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