Register for SIMposium today!

We are so glad you will be joining us. Please take a few moments to complete this registration form. If you have any questions about the event or this form, please call Sarah Albracht at 800-747-5612.

Name *

First

Last

Name as it should appear on your nametag

Email *

Confirm Email

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Do you have any of the following meal requirements? *

Dietary requirements not listed above

Room preference

King
Two queens
Mobility accessible king
Mobility accessible two queens

Emergency Contact Information

Emergency contact name (first and last) *

Emergency contact phone *

Relationship to attendee

Travel information

How will you be traveling to the event? *

If flying, will you want airport shuttle service to and from the hotel? *

If you have any special accommodations or needs not mentioned above, please list them here.

Please upload your flight itinerary (please note, if your flight is not booked yet, you may email it to your Simplicity Des Moines Marketing Executive or fax to 888-618-7444.

Click or drag files to this area to upload. You can upload up to 5 files.

This is an educational event provided at no cost to advisors contracted with Simplicity Des Moines. Accommodations and meals covered as follows: overnight lodging for October 23-24, 2023 with accompanying meals during the hours of the conference. Incidental costs and/or additional nights are the responsibility of the attendee. A fee will be charged for cancellations without 24-hours notice, or for early departure. Attendees must provide credit card information upon check-in for this purpose. For reimbursement of travel expenses, a copy of the attendee's flight itinerary with proof of payment must be submitted. If driving, a mileage reimbursement form must be completed for reimbursement. Simplicity Des Moines will reimburse up to $700 of eligible travel expenses upon conclusion of the event. *Local is considered any driven distance less than 50 miles, round trip, per 2023 IRS guidelines.

Emergency Contact Information

Travel information

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