Step #1: Contact Details
Full Name:
Email Address:
Phone Number:
Step #2: Contact Information
Street Address:
State / Province:
Zip Code / Postal Code:
I acknowledge the risk associated with attending in-person events and am willing to accept those risks. I will not hold Video Marketing World, LLC or its employees responsible if I contract an illness as a result of participating in Video Marketing World 2021. I will adhere to any government mandated guidelines for proper social distancing and mask wearing if attending the in-person event.
I have read the Registration Agreement and agree to attend Video Marketing World 2021 in person.
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Registration Agreement

Congratulations! You have been selected to be a recipient of a Video Marketing World 2021 Scholarship. This scholarship covers the cost of registration and lunches for the main event on October 15th and 16th 2021. We select our recipients carefully because there is a cost associated with attending the event. In filling out this registration form you are committing to be in attendance of Video Marketing World 2021 in person. Your invitation is a special registration that we specifically reserve for you. If you accept this scholarship and do not attend in-person, it may impact your being invited to attend future events. 
"As a first timer and new to creating video content, this was the best conference I have attended in quite some time. So much energy, collaboration, and knowledge sharing. I am registered for #videomarketingworld20

- Michael G., TX
"Fantastic job with the speaker lineup - for people who are so successful at what they do, this lineup was also very approachable, giving and encouraging, which blew me away. What really set this conference apart is exactly what you sought out to create...something that felt like a family reunion."

- Tiffany M., TX
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