2017 Summit Reservation Request Form
You are applying for a reservation for Dale's 2017 Summit on August 10-12 in Bend, Oregon. This is a 3-day intensive leadership vacation for only 25 attendees at Dale and Veronica's private farm. Tickets are $1,000.00. If you have additional questions, please email Brooklyn@StartupCamp.com
Name *
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Email *
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Phone *
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Please list one of your social media profiles *
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Organization (if applicable)
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What City & State Are You Coming From? *
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Professional Description *
Because this event takes place at Dale's private farm, we do require a background check to be completed on all attendees. Are you okay with this? *
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