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Registration Form.

First Name: *

Last Name: *

Email: *

Cellphone: *

Title: *

Organization/Company/Agency: *

Street Address: *

City: *

State/Province: *

Zip/Postal Code: *

Country: *

Emergency Contact (Name, relation, cellphone, email):

USD Registration Fees

INCLUDES:

Welcome reception - Monday, Dec. 4 th – 18:30 – 21:30
Awards Ceremony and Buffet Dinner – Wednesday, December 6 th – 18:30 – 21:30 (Vegetarian options are available as part of the Buffet)
Symposium - Thursday, December 7 th – 9:00 – 17:15

IMPORTANT: After Nov. 1 registration cost goes up to $ 375.00

I agree to pay the $ 350.00 or $ 375.00 registration fee *

Attending the event.

Accompanying guest to the welcome reception.

Accompanying guest to the awards dinner.

I am planning to attend to: *

Welcome reception - Monday, Dec. 4 th – 18:30 – 21:30

Awards Ceremony and Buffet Dinner – Wednesday, December 6 th – 18:30 – 21:30

Symposium - Thursday, December 7 th – 9:00 – 17:15

IMPORTANT:
Once your payment is successfully submitted, click on the submit button below to finalize your registration