National Black Men in Leadership Conference December 4th, 2025 8:00am-5:00pmPersonal InformationYour Name(Required) First Last Your Email Address(Required) Phone Number(Required)Company/Organization(Required)Job Title(Required)Do you require special accommodations?YesNoIf yes, please provide your request:Dietary Restrictions?YesNoif yes, please explain:Payment MethodRegistrationIndividual Registration – $499Corporate Table – $5,000 (Includes 10 registrations with preferred table seating)Business Community Expo - $350 Includes (1) registrationReception: $159* Only available with conference registration1/4 Page AD - $2001/2 Page AD - $300Full Page AD - $50020 Second Commercial Video - $40040 Second Commericial Video - $60060 Second Commericial Video - $800* Please note that a 2.9% processing fee is included in your total to cover payment processing costs.Coupon Processing Fee Price: $0.00 Processing Fee Price: $0.00 Processing Fee Price: $0.00 Processing Fee Price: $0.00 Total Credit Card Before completing your registration, please review and agree to the following terms:Refund & Cancellation Policy (Required) I acknowledge and agree to the Refund & Cancellation Policy, which states that a full refund is available if cancellation occurs 30 days or more before the event. If canceled within 30 days of the event, the amount may be credited toward a future event within 60 days of cancellation.I acknowledge and agree to the Refund & Cancellation Policy, which states that a full refund is available if cancellation occurs 30 days or more before the event. If canceled within 30 days of the event, the amount may be credited toward a future event within 60 days of cancellation. Terms & Conditions Agreement (Required) I have read and agree to the event’s Terms & Conditions, including policies related to event participation, payment processing, and compliance with event guidelines. Photo/Video Consent (Required) I grant permission for event organizers to photograph and/or record my participation in this event for promotional and documentation purposes. I understand that these images may be used in future event materials, social media, and marketing campaigns. Accommodation Request Policy (Required) I understand that special accommodation requests must be submitted at least 30 days prior to the event to ensure proper arrangements can be made. Late requests will be considered but cannot be guaranteed.
