Personal Information

Prefix (i.e. Mr., Mrs.)

First Name*

MI

Last Name*

Suffix

Job Title

Department

Address & Contact Information

Company *

Address *

Floor/Suite

Address 2

City

State/Province

Postal Code

Country*

Email Address*

Phone

Fax

* PIN approval required. Make Checks payable to Public Investment Network, LLC.

Payment Method:

Online payment links will be provided on the 'Thank You' page that follows.

For payment info please call or e-mail
Raj Kashyap at:
+1 646.467.7929
rkashyap@publicinvest.org

Refund and Cancellation policy

Upon signing this agreement, your company is responsible for 100% payment.  In the event that Public Investment Network (PIN) cancels the event due to an act of God, declaration of war, act of foreign enemies, one or more occurrences that could directly or indirectly impair travel, or any other act or event that directly or indirectly causes cancellation of the conference, PIN shall have the right to retain 20% of the sponsorship fees to cover pending costs and the remaining fees shall be credited to the sponsorship of one or more future events to be determined at PIN’s sole discretion.