SER 58th Annual Conference Registration Form Pathways to Progress Conference Registration Conference Details Join us for SER’s 58th Annual Conference on April 21, 2022. We welcome all vendors and participants to join us for this year’s event, titled “Pathways to Progress”. The conference will feature inspiring speakers, educational entrepreneurial workshops, and training. In addition, we will be hosting a luncheon and fun-filled reception with giveaways and special activities. This in-person event will follow all safety protocols. See you there!Location: Fort Worth Hilton, 815 Main St, Fort Worth, TX 76102Workshops: 9:00 - 4:00 PMNetworking: 4:00 - 5:00 PMReception: 5:00 - 7:00 PM Registration TypeParticipantVendor First Name Last Name Email Address- If you have already applied to SER Negocios, please use the same email address. AgePlease select... 18-24 years old 25-34 years old 35-55 years old Over 55 years old Phone Number Street Address City StatePlease select... AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip / Postal Code GenderFemaleMaleNon-binaryOther Are you a veteran or spouse of a veteran?YesNo RaceBlack/African AmericanAsianWhiteMulti RaceAmerican Indian or Alaska NativeNative Hawaiian/Pacific IslanderHispanic or LatinoOther EthnicityNot Hispanic, Latino, or Spanish originMexican, Mexican American, ChicanoPuerto RicanCubanOther Hispanic, Latino or Spanish origin Other Origin What is your preferred language?EnglishSpanish Do you have a disability?YesNo What is your income range?Please select... $20,000 - $29,000 $30,000 - $39,000 $40,000 - $49,000 $50,000 - $59,000 $60,000 - $69,000 $70,000 - $79,000 $80,000 - $89,000 $90,000 - $99,000 $100,000 - $109,000 $110,000 - $119,000 $120,000 - $129,000 $130,000 - $139,000 $140,000 - $149,000 $150,000 - $159,000 $160,000 - $169,000 $170,000 - $179,000 $180,000 - $189,000 $190,000 - $199,000 How did you hear about SER Negocios?Please select... In-person Referral Website Workshop Social Media Contact Information
