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Meeting Registration Form

2022 - Meeting Registration (Non-Member)

2022 - Meeting Registration (Non-Member)

Contact Information

Address *
Address
City
State/Province
Zip/Postal
Country

Registration

Registration Level - Regular (Non-Member) *
Registration Level - LMIC (Non-Member) *

Pre-Conference Workshops

Pre-Conference Workshops are being held both IN PERSON and VIRTUALLY. In Person workshops will be held on Tuesday, June 14th. Virtual workshops will be held during the months of May, June, and July 2022.
Visit: https://epiresearch.org/annual-meeting/2022-meeting/meeting-registration/ to register for workshops.
Should you need a combined receipt, please contact Courtney Long (clong@epiresearch.org) who can provide you with one receipt that includes the conference and workshops.

Affinity Groups

Are you interested in connecting with an affinity group at the conference?
What group(s) would you be interested in joining?

Donation/Support

Many individuals find themselves without funding to attend the conference due to current budget constraints. If you would like to commit additional funds to support another individual in attending the conference, please consider paying a higher registration fee to cover the fee of another individual. You can identify the specific individual you would like to support or make a general donation. The total amount donated will be added to your “Conference Registration” total in a single sum. If you have special requirements for obtaining reimbursement that require a more detailed documentation of funds paid, please let us know your specific needs so that we can try to accommodate them.
I would like to make a donation: *
Donation Type *
$

Payment

$
Payment Type
Credit Card
Credit Card
A confirmation email will be sent to the email address entered above. Details on sending a check payment are included in the email.