2025 Southern Region Program Leadership Network Conference Registration

2025 Southern Region Program Leadership Network Conference Registration
Early Registration: By July 15th

Regular Registration: July 16th - August 5th

Late Registration: After August 5th
Admin Only: Check Received?

Yes
Admin Only: Refund Sent?

Yes
Admin Only: Registrant Requested Cancellation?

Yes
Admin Only: Comments
Title*
Name*

First Name PreferredLast Name
Position*
Organization*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Participant Email*
example@example.com
Phone*
Please enter participant phone number.
Fax
Person Responsible for processing payment
Email
example@example.com
Which of the following will you be attending? Check only one.*

PLN Meeting OnlyPLN Meeting and AEA/ASRED Thursday Morning Session. The Thursday morning session also includes Committee Chairs and the PLC.
Please select your primary committee: Check only one please.*

4-H Youth Development (4H)Association of Extension Administrators (AEA)Association of Southern Region Extension Directors (ASRED)Agriculture and Natural Resources (ANR)Communications (COMM)Community Development (CD)Family and Consumer Sciences (FCS)Information Technology (IT)Middle Management (MM)Program and Staff Development (PSD)
Emergency Contact*
How would you like to make your payment?*

Credit CardCheck
Check Payment Instructions

Based upon the date of your registration, please download one of the following invoice templates.
Please add the participant's full name, organization/institution, and phone number and send the template with your check payment to the address below. You may leave the Invoice Number section blank:

Extension Foundation
PO Box 404
Gretna NE 68028

After submitting your registration by clicking submit below, you will receive the above details in an email.

Transferring Registration: You may transfer your conference registration to another person within your organization by August 5th, by notifying Aaron Weibe at the Extension Foundation (aaronweibe@extension.org)

Cancellations: If you must cancel, please notify Aaron Weibe by email (aaronweibe@extension.org) by August 5th at which time a refund for the registration amount, less a $50 cancellation fee, will be processed. Cancellations made after August 5th as well as no-shows are liable for the full registration fee.

Registration Discounts: Registration and Payment (credit card, purchase order or check) must be received by July 15th to be eligible for the Early Registration Discount or by August 5th for Regular Registration.

Credit Card Payment: Please submit credit card payment online. For credit card payment questions, please contact Aaron Weibe at the Extension Foundation at aaronweibe@extension.org.

Available to Arrive beginning August 17, 2025

Single and Double Room Rate: $169 per night

Online Hotel Link: Hotel cutoff Date is July 28, 2025

https://book.passkey.com/go/SRPLNC2025
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