CPANS 2017 Annual Conference Registration Form
Note: After clicking the "Submit" button in the bottom of this form, you will be redirected to the payment website.
Name of Affiliation
Registration Type & Fee (by April 21, 2017)
A&WMA Member $165
A&WMA Non-member $220
Government Member $105
Government Non-member $165
Student Member $27.5
Student Non-member $55
Special Requirements (i.e., dietary)
Important Note: Registration fees will be increased by 10% after April 21, 2017.
Cancellations and Refunds Policy
No refunds will be made for cancellations made after May 5, 2017. Substitutions from within the same practice can be made at no charge.
The registration for the conference is only valid after receipt of the full registration fees.
If you have any questions, please contact Sunny Cho by email at email@example.com.
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