SAHMS 2020 Registration

* Indicates required field

Name *

First

Last

Email *

Institution or Affiliation *

Mailing Address *

Phone Number *

Dietary Needs or Restrictions *

Are you on the conference program? If so, in what capacity? *

Are you willing to serve as a moderator? *

Do you plan to attend the reception on Thursday evening? (Included with registration) *

Do you plan to attend the banquet on Friday evening? (Included with registration) *

Do you plan to attend lunch on Friday? (Included with registration) *

Do you plan to attend lunch on Saturday? (Included with registration) *

Are you interested in attending an informal dinner on Saturday at your own expense? *

How did you hear about SAHMS? *

If your name differs from that on your method of payment, please note. Also, note here if you are paying for more than one registrant. Each individual registrant should submit a form, even if the payments are combined. *

Choose the category that applies to you. *

Select Add-ons *

Select another Add-on *

Please note: SAHMS membership is not included in the registration fee and must be added on. Please help to keep our conference affordable and fund student travel grants by paying your annual membership dues.

Conference registration fees include the reception on Thursday; breakfast, lunch and the banquet on Friday; and breakfast and lunch on Saturday.

Once submitted, you will receive a message that includes the mailing address for check payments to be sent. If you need additional confirmation of payment receipt, please send a request to sahmsconference@gmail.com.

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