2020 Brunswick Modernization Showcase

March 2-4, 2020 - Grand Rapids, MI.

Name as it appears on government issued identification:

First Name *

Middle Name

Last Name *

Preferred Name Name as you would like to appear on your name badge.

Birth Date *

Gender *

Company Name *

Email *

Cell Phone *

Home Phone

Address *

City *

State *

Zip Code *

Country *

Sales Rep *

Special Invite If you were invited by someone OTHER than a Brunswick Sales Representative, please enter their name and company below.

Departure Airport *

TSA Number

Dietary or Allergy Concerns Please list any dietary or allergy concerns.

Travel Companion? *

Companion Name

Transportation Preference *

Room Preference Room type is not guaranteed.

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