EmailMe Form - Select Management Conference 2025

Name *

First Last

Title *

Funeral Home / Company *

Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Email *

Work Phone

### - ### - ####

Mobile Phone (Travel Contact) *

### - ### - ####

I plan to travel by: *

Road

Air

Undetermined

Dietary Needs / Restrictions *

None

Vegetarian

Gluten-free

Other

ACCOMMODATIONS - ARRIVAL & DEPARTURE

The program gets underway at 12:30 pm on Monday, June 16 and wraps up at 10:00 pm on Wednesday, June 18. We have rooms blocked from Sunday through Wednesday nights. Please consider your travel plans and indicate your check-in date and let us know if you require a different check-out date.

I will check in on: *

Sunday, June 15

Monday, June 16

To be determined

I will check out on *

Thursday, June 19

Other

Guests in my room *

I will be attending alone.

I will have an additional guest sharing my room.

ADDITIONAL GUEST SHARING ACCOMMODATIONS

Additional Guest

First Last

Guest's Dietary Needs / Restrictions

None

Vegetarian

Gluten-free

Other

My guest will be an:

FSAC delegate (industry member, CEU eligible)

FSAC guest (non-industry)

FSAC REGISTRATION REQUIREMENTS

Optional registration for FSAC Fun Night - Tuesday, June 17 •••• $49/ticket *

No tickets required.

1 ticket

2 tickets

May FSAC share your contact information with exhibitors? *

Yes

No

Do you require French translation services at FSAC events? *

Yes

No

INQUIRIES / SPECIAL REQUESTS

PRIVATE EVENT - BY INVITATION ONLY

The Select Management Conference is produced by Select Community Funeral Homes Inc. exclusively for Select Management Partners and invited guests.