Alabama Society of Hearing Healthcare Providers & Georgia Society of Hearing Professionals 2022 Summer Meeting Registration Form
Please register one attendee at a time. If you have multiple people to register, refresh the form after submission to complete for each person. All Society Memberships will be verified and if not current, you will be billed/charged the difference at registration.
Designation(s) (ex., ACA, AuD, BC-HIS)
Your Name as it Should Appear on Badge
Street Address Line 2
Phone Number (Daytime)
How did you hear about the conference?
Do you have special dietary needs? If so, what are they?
Interested in also becoming a member of ASHHP or GSOHP? Complete the membership form at:
Please Select a Registration Level
( X )
Alabama/Georgia/Florida Society Members
Includes all CEUs and social activities.
NON Chapter Members
Includes all CEUs and social activities
Additional Social Package
Includes breakfast Saturday & Sunday and Lunch Saturday
Includes table, and social events
Should be Empty: