Friday, November 16th, 2012

8:00am-4:00pm

Melville Marriott

Send us your suggestions for presenters, panelists and workshop subjects!

This year's program is shaping up, but we are still taking ideas for panels and nominations for panelists and presenters for the November 16th event. The deadline for submissions and nominations is Friday, August 17th.

Send your ideas to info@visionlongisland.org here!

Sponsorships are available!

Call our office at 631-754-4452 or email us at info@visionlongisland.org for more information.

Register today!

[ ] Visionary ($15,000) [ ] Leader ($10,000) [ ] Gold Sponsor ($5,000) [ ] Sponsor ($2,000) [ ] ___ seats ($125/person)
Method of Payment: [ ] Check enclosed [ ] Check sent (faxed replies only) [ ] Pay at the door [ ] Credit Card

Attendee Name(s): ____________________________________________________________________________________________

Affiliation:_____________________________________________________________________________________________________

Address: ____________________________________________________City, State, Zip: ___________________________________

Email: _______________________________________ Phone: ____________________________ Fax: ________________________

Credit Card: [ ] Visa [ ] MasterCard [ ] American Express Name, as it appears on card: ____________________________________

Credit Card Number: __________________________________________________ Expiration Date: ___________________________

RSVP or ask any questions by phone to 631-261-0242, by email to info@visionlongisland.org or by fax to 631-754-4452.