The Mayflower Inn & Spa, 118 Woodbury Rd, Route 47, Washington, Connecticut, 06793
November 19-21, 2025

Speaker Registration Information

Please Register by November 7, 2025

We’re excited to welcome you to the Mayflower Inn.
Please register for the event by providing your information below by Friday, November 7.
Thank you for graciously accepting our invitation to serve as a guest speaker at the 2025 Women in Leadership Symposium!

Sincerely, Rebecca Corbin

Speaker Registration Contact Information

Name

First Last Preferred Name for the Program Booklet

Company Name

Title

Phone

Emergency Contact Name

Emergency Contact Phone

Please Include a Short Bio for the Program Booklet

Approximately 100 words

Event Information

Meal Preference

None

Dairy-free

Gluten-free

Vegan

Vegetarian

Low Carb / Keto

Other (if checked, please explain in Allergies box below)

Allergies

Please list any allergies or specific food requirements

If you will have a PowerPoint presentation for your session, please send it to [email protected] by November 14, 2025. Thank you!