National HEP/CAMP Conference Registration

2024 Conference Registration Form
Thank you for selecting to join us at the 2024 National HEP/CAMP Conference. The conference will be held October 28 - October 31, in Raleigh, NC.

Please visit the National HEP/CAMP Association conference page for information about the conference.

Pre-Conference Workshops will be held on October 28th. For information about the workshops, visit the association's pre-conference page.

Refunds: Sorry, no refunds are allowed. Transfer of registration is allowed if requested on/or before October 15, 2024.

COMPLETE FORM TO REGISTER:

2. PAYMENT OPTIONS
Pay by check or credit card?*

CheckCredit Card:

PAYMENT BY CHECK (Click to Select Conference)
Do you plan to attend the pre-conference? ($150 Fee)*

YesNo
Select Morning Pre-Conference Workshop (9 - 12 PM):
Select Afternoon Pre-Conference Workshop (1:30 - 4:30 PM):
Select Main Conference:

HEPCAMP Member Registration Fee - $500.00 (after 9/30)Non-Member Fee - $500.00
Total due for payment by check ($USD):

PAYMENT BY CREDIT CARD (Select Conference Option)

Select Conference options: *

Pre-Conference (10/28) Workshops$150

Pre-Conference will be held 10/28 from 9 - 4:30 pm. Fee is $150 and attendees are able to select two workshops. Morning workshops will be held 9 - 12 pm. Afternoon workshops will be held 1:30 - 4:30 pm.

Select Morning Workshop:Select Afternoon Workshop:

HEPCAMP Member: Registration Fee (after 9/30) $500

Non-Member Registration Fee $500

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

3. MEDIA RELEASE
e-Signature (by providing electronic signature I verify the information submitted is accurate):*
Should be Empty:

2024 Conference Registration Form