2008 Statewide Hepatitis C Conference Registration Brochure - health ny-2025

1. Click ‘Get Form’ to open the registration brochure in the editor.
2. Begin by filling in your personal information, including your first name, last name, degrees, title, and organization. Ensure all fields are completed accurately.
3. Provide your address details: street address, city, state, and zip code. This information is essential for confirmation purposes.
4. Enter your contact information including telephone number, fax number (if applicable), and a valid email address. Note that an email is required for confirmation.
5. Select your registration fee option by checking the appropriate box: Early Registration ($100), Late Registration ($125), or Student Registration ($75).
6. Fill out the payment information section with your chosen payment method. If paying by credit card, include the cardholder's name, card number, and expiration date.
7. Indicate which conference tracks you plan to attend by selecting one workshop for each time period provided in the agenda.
8. Once all fields are completed, review your entries for accuracy before submitting the form via mail, fax, or phone as indicated.

Start using our platform today to streamline your registration process for the conference!