ATTENDEE REGISTRATION
World Health Summit Regional Meeting 2023, Washington DC
Please note this registration form is ONLY for the World Health Summit Regional Meeting.
If you would like to register for the CUGH 2023 conference, please view the CUGH 2023 website: https://www.cugh2023.org/
Name
First Name
Last Name
Email
example@example.com
Would you like to receive online communications about World Health Summit (WHS) and Consortium of Universities for Global Health (CUGH) programs?
CUGH Only
WHS Only
Both CUGH and WHS
No
Gender
Please Select
Male
Female
Non-binary
Prefer not to answer
Academic Degree
Professional Title
Home Institution
City
Country of Residence
Nationality
Discipline
Sector
Will you be attending the Regional World Health Summit in-person in Washington DC or virtually/digitally. (The summit will be hybrid).
In-Person
Virtual/Digital
Registration Fee
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( X )
High Income and Middle Income Country Delegates -Before December 31st, 2022
$
150.00
High Income and Middle Income Country Delegates- After December 31st, 2022
$
200.00
High Income and Middle Income Country Students
$
30.00
Low Income Country Delegates and Low Income Country Students
$
Free
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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