Register for H.E.L.P. 2015

Registration Instructions

  1. Decide who is registering:
    • Individuals ($699): Fill in the Registrant Details fields once.
    • Groups of four from the same institution ($2500): Fill in the Registrant Details fields. Select "Add Another Registrant" and fill in Registrant Details until each member of your group is registered. (Please don't click the browser's "Back" button to add more registrants; use the "Add Another Registrant" button instead.)
    • Groups of five or more from the same institution must contact Patricia Baia, PhD at patricia.baia@acphs.edu or 518-694-7233 to arrange group pricing and payment details.

  2. Choose a Payment Method.
    • Purchase Orders (POs): Selecting this choice will trigger ACPHS to send you an invoice to the address you provide. Once you receive the invoice, you can cut the check/PO to us. You will receive H.E.L.P. registration confirmation and details by email.
    • Credit Card payments: This choice prompts you to pay on-line immediately, have your credit card ready. After credit card payment, you will receive H.E.L.P. registration confirmation and details by email.

1 Registrant(s) Details

First Name: *    
Last Name: *    
Department: *  
Institution: *  
Tenure Track?
Mailing Address:
Street1 *  
Street2
Street3
City *  
State *  
ZIP/Postal Code *  
Phone: *  
E-mail: *    
Will you need CE Credit for this program?
NABP e-Profile ID:
 





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