Pre-Registration

Indicate your interest in possibly participating in or contributing to this congress by filling in this form. You will then be on our mailing list and we will inform you about upcoming deadlines and the program. Preregistration is a prerequisite to use the abstract submission system (see Call for Abstracts).
Do not pre-register again if you've forgotten your password - go to this page instead so that we can email you your account information.
Pre-registration is not binding, but we ask below that you indicate the probability that you will attend (using the drop-down box below), in order to facilitate our planning of the congress. If you enter your information below, registration will be a simple process consisting only of the payment process - you will not be asked to enter this information again.

Field in Red are Required


First Name:
Middle Name/Initials:
Surname:
Affiliation:
Email:
Street:
City:
State/Prov:
Country:
Postal code:
Phone [home/work]: extension:
Fax:
Mailing address (optional):
I plan to attend with: % certainty
To help us with the planning process, please answer the following questions:

I will likely need accommodation

I am considering to submit an abstract for a single-presenter oral presentation (enter possible title below)

I am considering to compile/chair/participate in a panel (contact 3-4 colleagues and invite them to present with me about a certain topic)

Draft Title for your oral single-presenter presentation or panel:

Possible Panel Members (in addition to yourself):

If you have any specific suggestions for keynote topics or speakers (other than yourself) you want to hear from, then please enter the topic/title here, and provide name, affiliation, email address of a potential speaker (if known):

I/we am/are interested in co-sponsoring the conference:
Budget (min. $1000): $US

Create a Username:
Begin with a letter, and use only letters a-z, numbers 0-9,
the underscore (_), and no spaces. Hint: Your email address before the @ can serve as a username
Create a Password:
Passwords may contain only letters (a-z) and numbers (0-9).
Verify Password:
Please re-enter your password.

Please answer these questions so we get to know you better.

1. Professional setting (choose one):
2. Principal focus (check all that apply):
Teaching/Faculty responsibilities
Programming/Systems Work
Marketing/Sales
Student/Research fellow
Research
Consulting
Administration/Management
Patient Care
Public Health
Other