INTELLENET Annual Conference Registration April 8 – 10, 2024 Clayton Hotel Cardiff Lane | Dublin, Ireland Dates April 8 -10, 2024: Sessions – Monday 8:00 am – Wednesday Gala Dinner April 11th: Dublin Tour* April 12-14: Belfast Trip* * Optional events Location Clayton Hotel Cardiff Lane Sir John Rogerson’s Quay, D2 Dublin, Ireland Hotel Reservations Attendee Registration InformationName*As to appear on Certificate of Attendance. First Last Company Name* Phone Number*Best phone number to reach you while traveling.Email* Attendee Type*Make a SelectionMemberNon-memberName Tag*First and Last Name to include City/State/Country as it will appear on your name tag. Conference RegistrationThe full conference registration fee includes 3 lunches, daily mid-morning and afternoon snacks, Gala Dinner Wednesday, April 10, nightly hospitality suite with beverages, plus conference related charges on a cost recoverable basis. Note: breakfast is included with all registered hotel room guest overnight reservations and lunch is provided daily for all full conference attendees. Non full conference attendees may choose to attend the Gala Dinner only if desired.Conference Attendance* Make a Selection Full Conference including Gala Dinner- $390 Gala Dinner Only - $95 Note: Conference registration fee is non-refundable after 3/15/2024.Optional - Dublin Bus Tour: Thursday April 11, 2024 0 No Dublin Tour - $0 1 Dublin Tour attendee - $85 Note: Departs from and returns to hotel. Add a guest below under Spouse/Guest registration.Optional - Belfast Trip: Friday April 12 - Sunday 14, 2024 0 No Belfast Trip - $0 1 Belfast attendee - $698 Note: The trip package includes train transportation to and from Belfast, 2 nights at the Grand Central Hotel, breakfast, two dinners, and 4 tours. To add a guest who will share your hotel room, register their name below under Spouse/Guest registration. (Cost based on 1 hotel room for one or two hotel guests). Add Your Product to the 2024 Gift Bag Add a Gift Bag Insert Gift Bag Insert - $100 + ship yourself Note: Please contact and coordinate with Eric De Van before shipping any products to Ireland.2024 Conference Program Ad Options Add a Shout-Out or Program Ad Shout-Out - $25 (40 word maximum) Business card ad - $100 (3.5” x 2”) 1/4 page ad - $250 (3.625” x 4.75”) 1/2 page ad - $500 (7.5” x 5”) Full page ad - $1,000+ (7.5" x 10") Note: All digital ad files (jpg, pdf, png, etc.) and shout-out text must be submitted to intellenet@intellenet.org by March 11, 2024, to be included in the program.Shout-Out Text - Enter up to 40 words for Dublin ProgramOffer congratulations, thank someone, acknowledge good works, show appreciation, etc. (all entries subject to editor review.)Any special dietary needs?* Yes No Enter detailed description of special dietary needs below: Do you require a CEU certificate?* Yes No Is this your 1st Intellenet Conference?* Yes No Are you a new member since the Mar-2023 conference? Yes No Are you a member of an Ireland Association? Yes No Ireland Association Member Discount Price: $0.00 Do you want to register a spouse or a guest?NoYesSpouse/Guest Registration InformationName First Last Email Name TagFirst and Last Name to include City/State/Country as it will appear on your name tag. Conference/Optional Events RegistrationThe full Apr 8-10 conference registration fee includes 3 lunches, daily mid-morning and afternoon snacks, Gala Dinner Wednesday, April 10, nightly hospitality suite with beverages, plus related conference charges on a cost recoverable basis.Spouse/Guest Conference Attendance*Choose Full Conference ($390) or Gala Dinner Only ($95). Note: Fee is non-refundable after 3/15/2024.Make a SelectionFull Conference - $390Gala Dinner Only - $95Dublin Bus Tour Apr 11, 2024 Spouse/Guest RegistrationAdd your guest to the Dublin Bus TourMake a Selection1 Dublin Tour - $85Belfast Trip Apr 12-14, 2024 Spouse/Guest RegistrationSelect the shared hotel room for your guest/spouse or choose to add a second hotel room if your guest requires their own individual hotel room. Make a Selection+ Shared Hotel room Belfast Trip - $369+ Second Hotel room Belfast Trip - $698Describe guest special dietary needs:Payment InformationCredit Card Payment Note: Financial institutions have increased online security. Be aware a pop-up window may appear to authenticate credit card transactions. Billing Address*Note: All fields are required. If error occurs, make sure data is entered in the State/Province/Region field. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Total $0.00 Select Payment Method*PayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Exp Date (mm/yyyy) Security Code Cardholder Name PhoneThis field is for validation purposes and should be left unchanged. Contact Us Name* Email* Message*CAPTCHACommentsThis field is for validation purposes and should be left unchanged. FollowFollow INTELLENETPO Box 350Gladwyne, PA 19035 Intellenet@intellenet.org