ACHEA 22nd Conference Registration Form
We are nearing full capacity therefore registration does not guarantee in person attendance at the conference. However, ACHEA is pleased to offer virtual participation as an alternative.
Full Name
*
Mr.
Mrs.
Ms.
Miss.
Dr.
Prefix
First Name
Last Name
Email Address
*
Affiliated Institution
Phone Number
*
Please enter a valid phone number.
Job Title
Type of attendee:
*
Regular
Student
Non-delegate (13 and over - includes transportation and admin fee ONLY)
Non-delegate (12 and under - includes transportation and admin fee ONLY)
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Regular Attendee
Members of ACHEA refer only to persons who have paid their annual membership fee.
Are you a member of ACHEA?
*
Yes
No
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ACHEA Member
I will be attending
*
Face-to-Face
Online
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Non-ACHEA Member
I will be attending
*
Face-to-Face
Online
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Student Attendee
I will be attending
*
Face-to-Face
Online
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ACHEA Member Attending Face-to-Face
Required Conference Registration
*
Please Select
ACHEA Member - Face-to-Face - Full 3-Day Registration - $600.00
ACHEA Member - Face-to-Face - Thursday Registration - $250.00
ACHEA Member - Face-to-Face - Friday Registration - $250.00
ACHEA Member - Face-to-Face - Saturday Registration - $250.00
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ACHEA Member Attending Online
Required Conference Registration
*
Please Select
ACHEA Member - Online - Full 3-Day Registration - $350.00
ACHEA Member - Online - Thursday Registration - $150.00
ACHEA Member - Online - Friday Registration - $150.00
ACHEA Member - Online - Saturday Registration - $150.00
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Non-ACHEA Member Attending Face-to-Face
Required Conference Registration
*
Please Select
Non-ACHEA Member - Face-to-Face - Full 3-Day Registration - $680.00
Non-ACHEA Member - Face-to-Face - Thursday Registration - $250.00
Non-ACHEA Member - Face-to-Face - Friday Registration - $250.00
Non-ACHEA Member - Face-to-Face - Saturday Registration - $250.00
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Non-ACHEA Member Attending Online
Required Conference Registration
*
Please Select
Non-ACHEA Member - Online - Full 3-Day Registration - $350.00
Non-ACHEA Member - Online - Thursday Registration - $150.00
Non-ACHEA Member - Online - Friday Registration - $150.00
Non-ACHEA Member - Online - Saturday Registration - $150.00
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Student Face-to-Face Registration
Required Conference Registration
*
Please Select
Student - Face-to-Face - Full 3-Day Registration - $350.00
Student - Face-to-Face - Thursday Registration - $250.00
Student - Face-to-Face - Friday Registration - $250.00
Student - Face-to-Face - Saturday Registration - $250.00
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Student Online Registration
Required Conference Registration
*
Please Select
Student - Online - Full 3-Day Registration - $350.00
Student - Online - Thursday Registration - $150.00
Student - Online - Friday Registration - $150.00
Student - Online - Saturday Registration - $150.00
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Non-delegates Registration
Required Conference Registration
*
Please Select
Non-delegate (13 and over) - $150.00
Non-delegate (12 and under) - $100.00
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Event Selection
Please Select
Gala Fee - $150.00
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How did you hear about the conference?
*
Email from ACHEA
Word of mouth
Facebook
Instagram
X
LinkedIn
WhatsApp Channel
Other
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