Please notice that completing this form without submitting a payment or contacting the conference administrator will not serve as an evidence of registration. Please save a copy of your PayPal payment reciept. This form is intended only for AHFE 2012 Participant Information Registration.
If you have already submitted a secure payment through AHFE 2012 PayPal system, then you will receive an email with your registration confirmation and payment receipt ID# from PayPal within the next 24 hours. Please print the PayPal receipt for your records.
If you would like to make a payment arrangement other than PayPal or have any questions regarding registration, please contact AHFE 2012 conference administrator at firstname.lastname@example.org
Important: If your PayPal payment was for more than one person, EACH individual should complete a registration form. Student Participants whom register and pay “Student Rates” must submit an official letter (in English) from their University or School, duly signed and stamped, indicating their current student status. This document must be submitted when registering. Please send a scanned copy of this letter as soon as you register to email@example.com
All fields are required. Please verify that all fields are completed before you click on “Continue to Next Step.” You may experience a slight delay after sending the Registration Form. This delay indicates that your data is being recorded to the database. Please be patient.