Registration Form

Use the below form when paying by check or money order. Please print out and mail with your check to: Northeast Florida Connectivity Summit, P.O. Box 51181, Jacksonville, FL 32240-1181.

IF PAYING BY CREDIT CARD,
CLICK HERE
TO REGISTER ONLINE.

Download W-9 form for NFLT, if needed

Please register me for the North Florida Connectivity Summit.
(Registration includes lunch)

Name

Company Name

Address

City State Zip

Business Phone

Cellular Phone

Email

Please reserve tickets at $30.00 each.
Please reserve tabletop booths at $100.00 each.
Booth space limited. Booths are inside the main room. Access to booths entire day for quiet review and conversations during breaks.

Print out the above form and mail
with your check or money order.

Nearby Lodging:

Best Western-Jtb Southpoint
(904) 281-0900
4660 Salisbury Rd
Jacksonville, FL

Candlewood Suites
(904) 296-7785
4990 Belfort Rd.
Jacksonville, FL

Courtyard-Mayo Clinic/Beaches
(904) 223-1700
4600 San Pablo Rd. S.
Jacksonville, FL

Hampton Inn
(904) 997-9100
4415 Southside Blvd
Jacksonville, FL

Hampton Inn - Jacksonville Beach
(904) 280-9101
1220 Marsh Landing Pkwy
Jacksonville Beach, FL

Hilton Garden Inn
(904) 997-6600
9745 Gate Pkwy.
Jacksonville, FL

Holiday Inn Express-South
(904) 332-8500
4675 Salisbury Rd.
Jacksonville, FL

Homewood Suites-St. Johns Center
(904) 641-7988
10434 Midtown Pkwy
Jacksonville, FL

Quality Inn - Oceanfront
(904) 435-3535
11 1st St. N
Jacksonville Beach, FL

Radisson-Butler Blvd
(904) 281-9700
4700 Salisbury Rd
Jacksonville, FL

Residence Inn
(904) 996-8900
10551 Deerwood Park Blvd.
Jacksonville, FL

Wingate Inn
(904) 281-2600
4791 Windsor Commons Ct.
Jacksonville, FL