Fleet Spouse Registration – Check

Company Affiliation of Spouse Registered for EUFMC

Company Name *

Business Contact Information For Company Registered With EUFMC

Address *

City *

State or Province *

Zip or Postal Code *

Phone *

Email *

Spouse's Information

First Name *

Last Name *

Name Badge *

First name as you would like it to appear on your name badge

Residential Address & Contact Information

Spouse residential address and contact information is required to receive the activities packet and allow access to the EUFMC event app.

Address *

City *

State or Province *

Zip or Postal Code *

Phone *

Email *

An individual email address is required to access the EUFMC app and to be listed on the Individual Attendee Listing within the app!

Conference Information

Arrival Date *

Fri. 5/30
Sat. 5/31
Sun. 6/1
Mon. 6/2

Departure Date *

Dining Reservations

Seating is reserved by name at all three dinner events; if you have registered a social guest to attend the EUFMC your guest will be seated with you. There is an opportunity to be seated with vendors on Monday and Wednesday. Tuesday is random seating. You may choose to be seated randomly each night if you prefer. Please indicate below each dinner you will be attending.

Monday Dining Preference *

Not Attending
Seat Randomly
Select My Preference From a List

Monday Dining Vendor List *

Tuesday Dining Preference *

Attending
Not Attending

Wednesday Dining Preference *

Not Attending
Seat Randomly
Select My Preference From a List

Wednesday Dining Vendor List *

Please list any food allergies or dietary practices in the box below:

Dietary Practices

Billing

Pay by Check or eCheck? *

Check
eCheck

Pay By Check

Please make checks payable, for the amount shown in the Total field below, to EUFMC and remit to:

EUFMC
PO Box 500
Williamsburg, VA 23187-0500

Pay By eCheck

Bank Name *

Name On The Account *

Account Type *

ABA Routing Number *

Bank Account Number *

Date *

By selecting “I Agree” and clicking the “Submit Registration” button below I authorize EUFMC to charge my bank account, the details of which I have entered above, for the amount appearing in the “Total” field below.

Authorize *

I Agree

Conference Registration Fee

Total:

$0.00

An email confirmation will be sent to the email address entered on this form. Click the “Submit Registration” button below to complete your registration.