ENERGIZE 2026 REGISTRATION FORM

Which ENERGIZE event will you be attending?

Maryland / January 21st

Virginia / January 22nd

First name

Last name

Phone

Company name

Billing Address

Any dietary restrictions we should know?

Social Media Handles

I understand that photos and videos may be captured during the event and consent to their use in marketing materials and on social media.

How did you hear about ENERGIZE?

Agency Representative

Social Media

I went last year!

Other

By submitting this registration, you acknowledge and agree that Fidelity National Financial (“FNF”) will issue an invoice to you using the contact and billing information provided in this registration form. You understand and accept that it is your responsibility to monitor your email for this invoice, and to remit payment via credit card in full prior to the event.

Until payment has been received and processed by FNF, registration will not be considered complete, and attendance will not be permitted. Registration fees are refundable up to 14 days prior to the event; no refunds will be issued after 1/8/26. In the event of a postponement, registration fees will not be refunded but will be applied to the rescheduled event. Refunds will be processed to the original payment method whenever possible; if that is not feasible, FNF will issue refunds via check.

$79 from September 1st through November 7th $99 from November 8th through the day of the event

ENERGIZE 2026 REGISTRATION FORM

$79 from September 1st through November 7th
$99 from November 8th through the day of the event