WELCOME TO OUR FIRST ONLINE REGISTRATION FORM
Please fill out all fields below for either one or two persons registering together.
NOT YET A MEMBER OF EANT?
If you have never been a member of EANT and would like to appy for membership, please click here to download an application. For assistance or questions about EANT membership, email our administration team, or call us at 1 415 906 4000.
PAYMENTS ARE SUBMITTED THROUGH PAY PAL
Once you have completed filling out this conference registration form, your total is calculated and shown at the bottom of this page. To process your registration, click the "Continue to Submit Payment" button, at which point you will be taken to our PayPal check-out page to first review your order, and then to submit payment. Registrations are not complete until payment has been completed and submitted.
PAYMENT CAN BE SUBMITTED BY PERSONAL CHECK OR MONEY ORDER*
If you'd prefer to mail in a check or money order, please submit your online registration form, then please contact us by phone at 1 415 906 4000 to confirm your option to mail in a checkfor the amount due.
CEUs FOR THIS YEAR'S CONFERENCE
A total of 17 contact hours are available for this conference.
CLEAR THE FORM AND START OVER
If you'd like to clear your entries and start over, simply refresh your page by clicking on your browser's refresh/reload page option.
CONFERENCE CANCELLATION POLICY: Registration Refunds in full, minus a $50.00 processing fee, are available if written notification is received on or before October 1, 2012. Registration cancellations after October 2, 2012 are non-refundable; however, conference tuition minus the $50.00 processing fee may be applied to the following year's conference: EANT CONFERENCE 2013.
If you have any questions or need assistance with this registration form, please email our webmaster, Suzanne Dion, or contact her by phone at 1 415 906 4000.