LaunchSmart Startup Workshop Registration Name* First Last Company Name*Email* Number of Attendees*If you wish to send more than 4 people from the same company to the workshop, please email britt@bestpracticesalliance.com.Please enter a value between 1 and 4.Second Attendee* First Last Second Attendee Email* Third Attendee* First Last Third Attendee Email* Fourth Attendee* First Last Fourth Attendee Email* Individual Registration* Price: $99.00 Team Workshop Registration (2 or More Attendees)* Price: $79.00 Quantity: Total $0.00 Registration Code Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Dietary RequestGluten FreeFood allergies (include specifics below)Other request (include specifics below)Specific Dietary Requests