The Leadership Edge Summit
November 12–14, 2025
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Itinerary
Don’t fill this out if you’re human:
1 · Attendee & Company
First name
*
Last name
*
Title
*
Company
*
Company website
Industry
Select industry
Technology
Finance
Healthcare
Manufacturing
Retail
Education
Consulting
Other
LinkedIn URL
Preferred name for badge
2 · Executive Assistant / Coordinator (optional)
EA/Coordinator name
Email
Phone / text number
Best way/time to reach you
Select…
Email
Text
Phone
3 · Contact & Basics
Primary email
*
Mobile number
*
Business city, state
Time zone
Select time zone
Eastern (US & Canada)
Central (US & Canada)
Mountain (US & Canada)
Pacific (US & Canada)
Alaska
Hawaii
Greenwich Mean Time
Central European Time
Japan Standard Time
Australian Eastern Time
4 · Business Snapshot
Revenue range
Select revenue range
$0–50M
$50M–100M
$100M+
Team size
Select team size
1–10
11–50
51–200
201–500
500+
Biggest current constraint
People/Leadership
Sales Pipeline
Capacity/Delivery
Cash/Finance
Ops/OS
Accountability/Cadence
Exit/Valuation
Other
Top 1–2 outcomes you want from this event
5 · Attendee Directory (published to attendees)
Cell phone (optional – share with attendees)
Preferred email to share
Year company founded
Upload headshot
Upload preferred company logo
6 · Travel & Logistics
Are you staying at the host hotel?
Select
Yes
No, please send options
Arrival date/time & airport
Departure date/time
Dietary restrictions
Select
None
Gluten-free
Dairy-free
Vegetarian
Vegan
Other
Accessibility needs
T‑shirt/jacket size (for swag)
Select size
XS
S
M
L
XL
XXL
Submit Registration
