Register

REGISTRATION for EPIC2008 is simple!

First fill in the form below. This creates a user account for you. (You will use this in the future to sign up for a Workshop.) Then you will go to a secure payment page. A confirmation email will be sent to you once you have paid. It is that simple!

Account information

Username: *

Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Password: *

Confirm password: *

Provide a password for the new account in both fields.

1. Personal Information

First Name: *

Last Name: *

Name on Badge: *

name as you want it to appear on your badge

Affiliation on Badge:

2. Address

Address: *

This is where the conference proceedings will be mailed to, after the conference.

City: *

State: *

non-USA please enter NA

Postal Code: *

Country: *

Phone: *

3. Registration

Participant type: *

Professional (regular)
or
NAPA Member / Student / Retired (member)

Roster exclusion

Please check this box if you do not want to have your information in the roster of attendees that will be available to other attendees.

Act now!

Sponsors

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