Registration for PONI Fall Conference at Kings Bay, GA
Personal Information
Salutation
First Name
Last Name
Job Title
Company/Affiliation
Email
Phone
Days Attending
October 16th
October 17th
Both
Do you want to participate in scheduled tours on October 17th?
Yes
No
Will you participate in the tabletop exercise on October 17th?
Yes
No
Will you be attending the lunch keynote?
Yes
No
Will you be attending the evening reception and dinner?
Yes
No
Please list any dietary restrictions:
Please enter in the following format, as it appears on your government-issued ID:
Full Name
Gender
Date of Birth
Place of Birth
US Citizenship
Please acknowledge if you are a U.S. citizen. If you are not a U.S. citizen by proceeding you understand that access to the PONI conference is dependent on approval by the host, which may require additional information and time to process. Admittance to the PONI conference is based solely on base access.
Are you a US citizen?
Yes
No
Driver's License Number (U.S. Citizens) OR Passport Number (Non-U.S. Citizen)
State of Issue (Driver's License) OR Country of Issue (Passport)
I acknowledge that the PONI Conference is an off-the-record event to foster more candid discussions. Please check to agree.
I Agree
Contact Information
Registration for PONI Fall Conference at Kings Bay, GA Registration for PONI Fall Conference at Kings Bay, GA