Confirm Information for the WSDC to contact you - will NOT be listed on the website

Business, Org, Club Name*:
Business, Org, Club Street Address*:
Business, Org, Club City*:
Business, Org, Club - State/Province*:
Business, Org, Club - Postal Code*:
Business, Org, Club - Country*:
Business, Org, Club - Phone Number*:
Your Name*:
Your WSDC Professional Member Email*:
Additional Notes:

Event Information

Event Name*:
Event Start Date:
Event End Date:
Event Category:
Hotel Name:
Hotel/Venue Information URL (from event website):

Event Location

Major Title City:

Contact Person Info

Contact Person First Name:
Contact Person Last Name:
Contact Person Phone Number:
Contact Person Email:

Ticket Person Info

Ticket Person First Name:
Ticket Person Last Name:
Phone Number:
  • I confirm I have paid my membership dues.
  • I confirm the event name has not changed.
  • I confirm that the location has not changed.
  • I confirm that the event start date has not changed on the calendar more than ten days.
  • I confirm that the owner has not changed.