Hill Day 2023 Registration Form

Attendee Information

First Name:

Last Name:

Company Name:

Country:

Email:

Address Information

Please complete the following address fields to correctly identify and set Hill Day appointments with the appropriate state representatives for you.

Please do not provide P.O. Boxes, physical addresses are required.

Corporate Headquarters:

If different from your Corporate Address, include your Business Address.

Business Address:

Additional Business Address (If Multiple Facilities)

Business Address 2:

Please list the full addresses for all additional company locations.

This will help the FAMA/FEMSA GAC connect you to the appropriate congressional offices during Hill Day.

Cell Phone

Member of:

Please check your membership using the following links

FAMA Member List – www.fama.org/members/list
FEMSA Member List – www.femsa.org/membership/members_directory

Please list the congressional/senate offices that you wish to meet with. These should be congressional districts/states where your company has a presence.

Do you plan to be available for optional Hill Day congressional appointments for 9:00am–12:00 noon, Wednesday, May 24, 2023?

Yes No

Credit Card Information

Credit Card Number

Expiration Date:

Card Verification Code:

Billing Address:

Total Price: $70