ENERGIZE 2027 REGISTRATION FORM

First name

Last name

Company Name

Email

Phone

Billing Address

Will you be joining us for the following meals? Select all that apply.

Day One | Lunch

Day One | Interactive Networking Dinner

Day Two | Breakfast

Day Two | Lunch

Any dietary restrictions we should know?

How did you hear about ENERGIZE?

Agency Representative

Social Media

I went last year!

Other

If you chose Agency Representative, list their name here:

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

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 1/8/27. 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.