Humanity Unites Brilliance [HUB]

Event Registration

HUB Members:
PLEASE LOG IN HERE PRIOR TO REGISTRATION

Social Entrepreneur Summit Long Beach
Advance Purchase (Before Oct.31)

CLICK HERE TO FIND OUT OF VOLUNTEER OPPORTUNITIES AT THIS EVENT

This area of the form must be completed for each and every "order" that is placed. Use this form for initial registration AND to add additional guests. After you complete this form, if you wish to add additional guests: come back to this page, fill out your information in the top box, and complete your guests information in the areas below.

Enter Promotion Code:

The AID Number of who referred you:

(if unknown, leave blank)

If AID Number is unknown,
how did you find out about this event?

Your Name


first name	last name

Your Email

Address

Address 2

City

State / Province

Zip / Postal Code

Country

How many (including yourself) will be attending this event?

If you are registering for an event, enter your name and the name of any guests you are bringing. If you have already registered and are simply adding guests - only enter their information below.

Non-HUB Members
$ 197 per person

Attendee #1

Is Attendee #1 a HUB Member?

	Yes
	No

Attendee #1 Name


first name	last name

Attendee #1 Email Address

Attendee #1 Location
Examples: "Los Angeles, CA" or "Nairobi, Kenya"

VIP Event/Luncheon/Party Package

The VIP (Very Impactful Person) package includes the following:

Reserved VIP seating for each session of the event
Special Global Marketplace Gift
VIP luncheons both Saturday & Sunday
VIP Networking Event - Saturday evening 6-8 PM (Music, Hors d' oeuvres & Refreshments, along with no-host Cocktails)
World Beat Dance Party & Celebration - Saturday night 8PM-12AM
Each VIP admission purchase allows for a powerful one-year educational tool for 10 HUB StarShine Leadership Academy students.

$300

Attendee #2

Is Attendee #2 a HUB Member?

	Yes
	No

Attendee #2 Name


first name	last name

Attendee #2 Email Address

Attendee #2 Location
Examples: "Los Angeles, CA" or "Nairobi, Kenya"

VIP Event/Luncheon/Party Package

The VIP (Very Impactful Person) package includes the following:

Reserved VIP seating for each session of the event
Special Global Marketplace Gift
VIP luncheons both Saturday & Sunday
VIP Networking Event - Saturday evening 6-8 PM (Music, Hors d' oeuvres & Refreshments, along with no-host Cocktails)
World Beat Dance Party & Celebration - Saturday night 8PM-12AM
Each VIP admission purchase allows for a powerful one-year educational tool for 10 HUB StarShine Leadership Academy students.

$300

Attendee #3

Is Attendee #3 a HUB Member?

	Yes
	No

Attendee #3 Name


first name	last name

Attendee #3 Email Address

Attendee #3 Location
Examples: "Los Angeles, CA" or "Nairobi, Kenya"

VIP Event/Luncheon/Party Package

The VIP (Very Impactful Person) package includes the following:

Reserved VIP seating for each session of the event
Special Global Marketplace Gift
VIP luncheons both Saturday & Sunday
VIP Networking Event - Saturday evening 6-8 PM (Music, Hors d' oeuvres & Refreshments, along with no-host Cocktails)
World Beat Dance Party & Celebration - Saturday night 8PM-12AM
Each VIP admission purchase allows for a powerful one-year educational tool for 10 HUB StarShine Leadership Academy students.

$300

Attendee #4

Is Attendee #4 a HUB Member?

	Yes
	No

Attendee #4 Name


first name	last name

Attendee #4 Email Address

Attendee #4 Location
Examples: "Los Angeles, CA" or "Nairobi, Kenya"

VIP Event/Luncheon/Party Package

The VIP (Very Impactful Person) package includes the following:

Reserved VIP seating for each session of the event
Special Global Marketplace Gift
VIP luncheons both Saturday & Sunday
VIP Networking Event - Saturday evening 6-8 PM (Music, Hors d' oeuvres & Refreshments, along with no-host Cocktails)
World Beat Dance Party & Celebration - Saturday night 8PM-12AM
Each VIP admission purchase allows for a powerful one-year educational tool for 10 HUB StarShine Leadership Academy students.

$300

Attendee #5

Is Attendee #5 a HUB Member?

	Yes
	No

Attendee #5 Name


first name	last name

Attendee #5 Email Address

Attendee #5 Location
Examples: "Los Angeles, CA" or "Nairobi, Kenya"

VIP Event/Luncheon/Party Package

The VIP (Very Impactful Person) package includes the following:

Reserved VIP seating for each session of the event
Special Global Marketplace Gift
VIP luncheons both Saturday & Sunday
VIP Networking Event - Saturday evening 6-8 PM (Music, Hors d' oeuvres & Refreshments, along with no-host Cocktails)
World Beat Dance Party & Celebration - Saturday night 8PM-12AM
Each VIP admission purchase allows for a powerful one-year educational tool for 10 HUB StarShine Leadership Academy students.

$300

Attendee #6

Is Attendee #6 a HUB Member?

	Yes
	No

Attendee #6 Name


first name	last name

Attendee #6 Email Address

Attendee #6 Location
Examples: "Los Angeles, CA" or "Nairobi, Kenya"

VIP Event/Luncheon/Party Package

The VIP (Very Impactful Person) package includes the following:

Reserved VIP seating for each session of the event
Special Global Marketplace Gift
VIP luncheons both Saturday & Sunday
VIP Networking Event - Saturday evening 6-8 PM (Music, Hors d' oeuvres & Refreshments, along with no-host Cocktails)
World Beat Dance Party & Celebration - Saturday night 8PM-12AM
Each VIP admission purchase allows for a powerful one-year educational tool for 10 HUB StarShine Leadership Academy students.

$300

Attendee #7

Is Attendee #7 a HUB Member?

	Yes
	No

Attendee #7 Name


first name	last name

Attendee #7 Email Address

Attendee #7 Location
Examples: "Los Angeles, CA" or "Nairobi, Kenya"

VIP Event/Luncheon/Party Package

The VIP (Very Impactful Person) package includes the following:

Reserved VIP seating for each session of the event
Special Global Marketplace Gift
VIP luncheons both Saturday & Sunday
VIP Networking Event - Saturday evening 6-8 PM (Music, Hors d' oeuvres & Refreshments, along with no-host Cocktails)
World Beat Dance Party & Celebration - Saturday night 8PM-12AM
Each VIP admission purchase allows for a powerful one-year educational tool for 10 HUB StarShine Leadership Academy students.

$300

Attendee #8

Is Attendee #8 a HUB Member?

	Yes
	No

Attendee #8 Name


first name	last name

Attendee #8 Email Address

Attendee #8 Location
Examples: "Los Angeles, CA" or "Nairobi, Kenya"

VIP Event/Luncheon/Party Package

The VIP (Very Impactful Person) package includes the following:

Reserved VIP seating for each session of the event
Special Global Marketplace Gift
VIP luncheons both Saturday & Sunday
VIP Networking Event - Saturday evening 6-8 PM (Music, Hors d' oeuvres & Refreshments, along with no-host Cocktails)
World Beat Dance Party & Celebration - Saturday night 8PM-12AM
Each VIP admission purchase allows for a powerful one-year educational tool for 10 HUB StarShine Leadership Academy students.

$300

Attendee #9

Is Attendee #9 a HUB Member?

	Yes
	No

Attendee #9 Name


first name	last name

Attendee #9 Email Address

Attendee #9 Location
Examples: "Los Angeles, CA" or "Nairobi, Kenya"

VIP Event/Luncheon/Party Package

The VIP (Very Impactful Person) package includes the following:

Reserved VIP seating for each session of the event
Special Global Marketplace Gift
VIP luncheons both Saturday & Sunday
VIP Networking Event - Saturday evening 6-8 PM (Music, Hors d' oeuvres & Refreshments, along with no-host Cocktails)
World Beat Dance Party & Celebration - Saturday night 8PM-12AM
Each VIP admission purchase allows for a powerful one-year educational tool for 10 HUB StarShine Leadership Academy students.

$300

Attendee #10

Is Attendee #10 a HUB Member?

	Yes
	No

Attendee #10 Name


first name	last name

Attendee #10 Email Address

Attendee #10 Location
Examples: "Los Angeles, CA" or "Nairobi, Kenya"

VIP Event/Luncheon/Party Package

The VIP (Very Impactful Person) package includes the following:

Reserved VIP seating for each session of the event
Special Global Marketplace Gift
VIP luncheons both Saturday & Sunday
VIP Networking Event - Saturday evening 6-8 PM (Music, Hors d' oeuvres & Refreshments, along with no-host Cocktails)
World Beat Dance Party & Celebration - Saturday night 8PM-12AM
Each VIP admission purchase allows for a powerful one-year educational tool for 10 HUB StarShine Leadership Academy students.

$300

Attendee #11

Is Attendee #11 a HUB Member?

	Yes
	No

Attendee #11 Name


first name	last name

Attendee #11 Email Address

Attendee #11 Location
Examples: "Los Angeles, CA" or "Nairobi, Kenya"

VIP Event/Luncheon/Party Package

The VIP (Very Impactful Person) package includes the following:

Reserved VIP seating for each session of the event
Special Global Marketplace Gift
VIP luncheons both Saturday & Sunday
VIP Networking Event - Saturday evening 6-8 PM (Music, Hors d' oeuvres & Refreshments, along with no-host Cocktails)
World Beat Dance Party & Celebration - Saturday night 8PM-12AM
Each VIP admission purchase allows for a powerful one-year educational tool for 10 HUB StarShine Leadership Academy students.

$300

Attendee #12

Is Attendee #12 a HUB Member?

	Yes
	No

Attendee #12 Name


first name	last name

Attendee #12 Email Address

Attendee #12 Location
Examples: "Los Angeles, CA" or "Nairobi, Kenya"

VIP Event/Luncheon/Party Package

The VIP (Very Impactful Person) package includes the following:

Reserved VIP seating for each session of the event
Special Global Marketplace Gift
VIP luncheons both Saturday & Sunday
VIP Networking Event - Saturday evening 6-8 PM (Music, Hors d' oeuvres & Refreshments, along with no-host Cocktails)
World Beat Dance Party & Celebration - Saturday night 8PM-12AM
Each VIP admission purchase allows for a powerful one-year educational tool for 10 HUB StarShine Leadership Academy students.

$300

Total Amount Due