2026 Southern Region Program Leadership Network Conference Registration

Regular Registration ($675): By July 15th, 2026

Late Registration ($695): After July 15th, 2026

Admin Only: Check Received?

Committed but not yet received?

Changed Payment Method and Received?

Admin Only: Refund Sent?

Admin Only: Registrant Requested Cancellation?

Admin Only: Comments

Duplicate Registration?

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.Format: (000) 000-0000.

Fax

Person Responsible for processing payment

Email

example@example.com

Please select your primary committee: Check only one please.

Emergency Contact

Emergency Contact Phone

Please enter a valid phone number.Format: (000) 000-0000.

If you have any dietary restrictions, please describe below.

Please list any reasonable accommodation requests (e.g., wheelchair accessibility, etc.)

How would you like to make your payment?

Check Payment Instructions

If you plan to pay by check for an individual registration, please select that option below. You will receive an invoice via email for your individual registration within one week. You may also receive a blank invoice in your email immediately after registration confirming you chose the check option, this is not your final invoice; please allow us a few days to manually issue you an invoice.
If your institution will be paying for multiple attendees on a single check, the designated university billing contact should reach out directly to aaronweibe@extension.org to request a combined invoice.
To ensure accurate processing, all attendees must complete their individual registration before check payment is submitted.
To qualify for the Regular Registration rate, payment by check must be received no later than July 15, 2026. If payment is received after this date, the registration will be adjusted to the Late Registration rate, and an updated invoice will be issued for the remaining balance.

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

Check Payment, please choose from below.

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 July 28th, 2026 at which time a refund for the registration amount, less a $50 cancellation fee, will be processed. Cancellations made after July 28th, 2026 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 Regular Registration Pricing.

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 16, 2026

Single and Double Room Rate: $149 per night

Online Hotel Link: Hotel cutoff Date is July 28, 2026

https://book.passkey.com/event/51210644/owner/6139/home

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Regular Registration

$675.00 Quantity
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