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Participant Form

Participant Information Form

Please read all instructions carefully)
Last Updated 10 June 2024

IMPORTANT: Complete this form only if you make a payment by Certified Official Bank Check or Bank Transfer. All Credit Card payments must be made through the AHFE Registration System

Please notice that completing this form without submitting a payment or contacting the conference administrator will not serve as an evidence of registration. This form is intended only for AHFE Participant Information Registration who have submitted their payment by Bank transfer or Certified Official Bank Checks. If paying by official bank check, please mail your check which is drawn on U.S. banks only, to the conference administrator at the address provided by AHFE Admin:

Please notify by email and send a copy of payment confirmation and the type of registration (e.g Early Registration, Best Deal, ...etc.) to: registration@ahfe.org

Notice: If your payment is for more than one person, EACH individual should complete a participant information form. If someone else is paying your registration fee, please be sure to include their name on the form in the requested area. This allows us to match the payment with your registration information. 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 registration@ahfe.org

If you have any questions, please contact AHFE conference administration

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 secure database. Please be patient.


PARTICIPANT INFORMATION (All fields are required)



First Name (in English letters)
Middle Initial/Name (in English letters)

Last Name (in English letters)
Name and Title for Badge (Dr.,Mr.,Ms.,Mrs.)
Type of Participation


Indicate the Name of the Person Organizing Your Session, if you are a Presenter or author of an invited paper, otherwise type N/A:





Company Name or Affiliation
Primary Employment Sector

Address

City

State/Province (e.g. Florida or N/A)

Zip/Postal Code (e.g. 32816 or N/A)

Country of Residence
Nationality - if other than country of residence
Mobile Telephone (Including country code)

E-mail



Emergency Contact Name (in English letters):


Emergency Contact Telephone:




AHFE Submission ID Number(s) - if you havent submitted yet then type N/A

Would you like to Register for a Tutorial:



Additional charge applies for tutorial registration: not included in basic registration, for more information check here
Preferred Attendance Option


To give you more flexibility, we are offering two (2) attendance options
(Optional) EXTRA paper submissions:


One paper included at no extra charge with registration. If you are the sole (only) author and have more than one paper submission then you can request a permission for extra papers to be published for standard fee per paper up to three papers. If you have multiple submissions, with multiple authors, a different author must register for each submission.

Questions? please send to: registration@ahfe.org
Payment Method


Payment Amount (US Dollar) if not applicable type N/A:




Enter the Name and Email of the person submitting your payment (Name / Email), if not applicable type N/A:

All personal and financial information is submitted via a secure link (SSL).

If you have any questions please contact us at registration@ahfe.org