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 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?
Do you plan on coming by yourself or with your spouse?
We expect this event to sell out quickly. Please give us a brief summary of why you are wanting to attend!
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