Fall 2025 Sponsor Registration page

Location: JW Marriott Tampa Water Street, Tampa, FL

Date: September 26-28, 2025

Expected Attendance: 35-40 Physicians

Highlighted Flow of Events

Friday, September 26, 2025

Saturday, September 27, 2025

7-7:30am, Health & Wellness Activity (all attendees welcome)
8am-12pm, Breakfast, Lunch & General Sessions with Sponsors (sponsors leave after this)
12-9pm, Private CIIC Business Meeting, Private CIIC Dinner

Sunday, September 28, 2025

This registration form is only to be completed by attending sponsors.

Name*
First Last
Email*
Phone*
Organization*
Role/Job Title (this job title will appear on your conference name tag)*
What day are you planning to arrive?*
- Thursday, September 25
- Friday, September 26
- Saturday, September 27
Do you have any food allergies, intolerances, or special diets that you follow?
Sponsor Conference Registration*
- My registration fee was included in my company's sponsorship.
- I am registering as an additional attendee from my company:
Sponsor Conference Registration
Price:
NOTE: Some sponsorship levels come with complimentary conference registrations. If you are unsure if you have registrations available to you, please contact us prior to ordering. Your purchase of a conference registration admits you to the general session space on Friday, September 26, from 2 PM to 7 PM, and Saturday, September 27, from 7 AM to 1 PM. With this registration, you'll also be permitted to attend the Welcome Reception with CIIC Physicians on Friday, September 26, from 5 PM to 6:30 PM. Also includes breakfast and lunch meals on Saturday.
Total
$0.00
Payment Method*

American Express
Discover
MasterCard
Visa
Maestro
Supported Credit Cards: American Express, Discover, MasterCard, Visa, Maestro
Card Number Expiration Date Security Code Cardholder Name
Phone
This field is for validation purposes and should be left unchanged.