JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
FSG Conference Registration Form
Feb 17th to 19th, 2023 Saint Augustine, FL
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Affiliation
*
Your answer
Membership Status (MUST BE A MEMBER To Present at the Conference, you can join or renew with your registration)
*
Yes
No
Membership Type
*
Student ($15)
Professional ($25)
Florida Geographic Alliance
Conference Registration
Student ($70 regular registration)
Professional, ($105 regular registration)
I deferred my 2022 Registration payment to the 2023 Conference Registration
Clear selection
Guests for Banquet
1 Guest ($30)
2 Guests ($60)
Clear selection
Sponsorship: My company would like to donate and be acknowledged in the program
Gold Sponsorship ($500)
Silver Sponsorship ($300)
Bronze Sponsorship ($100)
Other voluntary donation (add to Paypal or contact
bdixon@mail.usf.edu
)
Clear selection
Payment Method
*
Paypal, including using credit card (You will be directed to the PayPal link after submitting this registration form)
Other (please contact
bdixon@mail.usf.edu
)
Presentation Type
*
Poster (36' x 48" recommended)
Oral (organized into concurrent presentation sessions)
Not applicable
Presentation Title
Your answer
Presentation Abstract (Limit 250 words, include your name, co-authors and affiliations )
Your answer
Presentation Keywords (Limit 5)
Your answer
Attendance History
First Time
Attended Before
Clear selection
Stay Informed and Receive Occasional Mailings
Yes
No
Clear selection
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Florida Atlantic University.
Report Abuse
Forms
