I am registering for:

-- Select Event -- Fall Summit, October 20-21, 2011 Tampa Local Board Meeting, November 29, 2011 Cleveland Local Board Meeting, November 30, 2011 Columbus Local Board Meeting, December 1, 2011 Columbus II Local Board Meeting, December 2, 2011 Dayton Local Board Meeting, December 6, 2011 Cincinnati Local Board Meeting, December 7, 2011 Greenville Local Board Meeting, December 8, 2011 Charlotte Local Board Meeting, December 9, 2011 Northern KY Local Board Meeting, December 8, 2011 Detroit Local Board Meeting, December 13, 2011 Houston Local Board Meeting, December 13, 2011 Chicago Local Board Meeting, December 15, 2011 Chicago North Local Board Meeting, December 16, 2011 Leadership Mindset Workshop, January 18-20, 2012 Doubletree Cleveland South Charlotte Local Board Meeting, February 17, 2012 Detroit Local Board Meeting, February 22, 2012 Chicago Local Board Meeting, February 23, 2012 Chicago Lakefront Local Board Meeting, February 24, 2012 Dayton Local Board Meeting, February 28, 2012 Cincinnati Local Board Meeting, February 29, 2012 Tampa Local Board Meeting, March 6, 2012 Cleveland Local Board Meeting, March 7, 2012 Columbus Local Board Meeting, March 8, 2012 Columbus II Local Board Meeting, March 9, 2012 Greenville Local Board Meeting, March 15, 2012 Houston Local Board Meeting, March 2, 2012 Spring Summit, April 26-27, 2012 Renaissance Orlando Airport Detroit Local Board Meeting, May 30, 2012 Chicago Local Board Meeting, May 31, 2012 Chicago Lakefront Local Board Meeting, June 1, 2012 Tampa Local Board Meeting, June 5, 2012 Cleveland Local Board Meeting, June 6, 2012 Columbus Local Board Meeting, June 7, 2012 Columbus II Local Board Meeting, June 8, 2012 Dayton Local Board Meeting, June 12, 2012 Cincinnati Local Board Meeting, June 13, 2012 Charlotte Local Board Meeting, June 15, 2012 Greenville Local Board Meeting, June 21, 2012 Houston Local Board Meeting, June 22, 2012 Detroit Local Board Meeting, August 22, 2012 Chicago Local Board Meeting, August 23, 2012 Chicago Lakefront Local Board Meeting, August 24, 2012 Dayton Local Board Meeting, August 28, 2012 Cincinnati Local Board Meeting, August 29, 2012 Charlotte Local Board Meeting, September 5, 2012 Greenville Local Board Meeting, September 6, 2012 Houston Local Board Meeting, September 7, 2012 Tampa Local Board Meeting, September 11, 2012 Cleveland Local Board Meeting, September 12, 2012 Columbus Local Board Meeting, September 13, 2012 Columbus II Local Board Meeting, September 14, 2012 Fall Summit, October 25-26, 2012 Tampa Local Board Meeting, November 27, 2012 Cleveland Local Board Meeting, November 28, 2012 Columbus Local Board Meeting, November 29, 2012 Charlotte Local Board Meeting, November 30, 2012 Columbus II Local Board Meeting, November 30, 2012 Dayton Local Board Meeting, December 4, 2012 Cincinnati Local Board Meeting, December 5, 2012 Greenville Local Board Meeting, December 6, 2012 Houston Local Board Meeting, December 7, 2012 Detroit Local Board Meeting, December 12, 2012 Chicago Local Board Meeting, December 13, 2012 Chicago Lakefront Local Board Meeting, December 14, 2012

Last Name (required):

Email address (required):

Are you bringing a spouse?:

No Yes Will Advise

Print a Board Meeting Form:

Street Address:

City:

State:

Zip:

Office Phone:

Fax Number:

Special Dietary Needs:

-- none -- Low Fat Low Carb Gluten Free Diabetic Kosher Vegeterian Vegan Low Sodium

Company Revenues:

-- Select Size -- $2.5 million - $10 million $10 million - $25 million $25 million - $50 million $50 million - $100 million $100 million - $250 million Over $250 million

Number of Employees:

-- Select Number -- 1 -- 99 100 -- 249 250 - 499 500 -- 999 1000 -- 4999 5000+

Business/Industry:

-- Select Industry -- Business Services Construction Distribution/Wholesale Education Food & Food Products Engineering Financial Services Health Care Hospitality Insurance IT Services Manufacturing Printing/Publishing Professional Services Real Estate Retail Transportation/Warehousing

I am most interested in:

-- Select Interest -- Increasing the value of my business Increasing value for my shareholders Management Team Development Succession Planning Next Generation Succession/legacy planning