Use this pre-registration form ONLY if you intend to pay at the venue. If you wish to pay by Check or PayPal prior to the event, please register through our Eventbrite website: www.HispanicLeadershipNJ.Eventbrite.com. We encourage everyone to register through our Eventbrite option, as to assure your full participation in the summit. Seats for the Workshops, Luncheon, and Gala are limited, so register early! For other Registration options, please visit our Registratoin page.

If you still wish to pay at the venue, please fill out the form below and we'll have your information ready at the registration table the day of the event.