2026 Columbus Conference Registration - Guests Step 1 of 3 33% Name(Required)Company/Firm Name(Required)Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email(Required) Phone(Required)Event InformationHow did you hear about this conference?(Required)Please provide Eagle Member name or other source.Hotel Accommodations Courtyard by Marriott Columbus OSU 780 Yard Street Columbus, Ohio, USA, 43212 Reservations will be made on your behalf.Which night(s) will you need hotel accomodations?(Required)Please select all that apply. Monday, October 26th Tuesday, October 27th I do not need a hotel room. Will you be attending the happy hour on October 26th?(Required) Yes No Will you be attending the ghost tour on October 26th?(Required) Yes No Will you be attending the dinner following the conference on October 27th?(Required) Yes No Do you have any dietary restrictions?(Required)If you need to cancel your registration and hotel accomodations, please let us know within 3 business days of the event.Credits InformationWhich credits are you looking to obtain?(Required) Legal CE Adjuster CE No CE Needed Legal CE CreditsName as it Appears on Your License(Required)Legal Illinois License #Legal Ohio License #Legal Wisconsin License #Do you require a Certificate of Attendance to submit to your Bar as an individual?(Required) Yes No Adjuster CE CreditsName as it Appears on Your License(Required)Adjuster North Carolina License #HOME STATE ONLYNPN #Adjuster Florida License #Adjuster Texas License #