Bentonville 2020 Registration (STEP 1 of 2)
Complete this form (STEP 1). Then, send registration fee ($40-FRIENDS AND FAMILY) to 40roundsevents@gmail.com . Your registration is not complete until payment is received. Registrations without payment will be deleted after 48 hrs. If you do not have a company of preference, select "No Company Preference, put me where you need me"

Registration should be by real name, no first person or initials.
LAST Name *
Your answer
FIRST Name *
Your answer
Email Address (please double check) *
Your answer
Company Selection *
Payment Method *
Emergency Contact Name *
Your answer
Emergency Contact Number (10 digit, no dashes or parentheses) *
Your answer
Medical Issues, Concerns, Allergies (leave blank if none)
Your answer
Comments, Questions, or Concerns (leave blank if none)
Your answer
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