In order to complete your registration for the symposium, please
fill out the form below.
- After you submit the form, you will be directed to page where you can pay the registration fee.
- For questions regarding symposium registration, please contact: Registration
Registration Form
Required information is marked with * |
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Name and affiliation |
*First name: |
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Middle name: |
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*Last name: |
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*Affiliation: |
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| Your name as you would like it to appear on the name badge: *
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Your area of interest, as you would like it to appear on your badge:
(e.g., safety, web usability, physical ergonomics, UX, etc.) *
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Address |
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| *Address line1: |
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| Address line2: |
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| *City, State, Zip: |
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| *Email: |
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Dietary Needs |
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| Please indicate: |
Vegetarian, vegan, gluten free, etc |
| *National HFES Membership:
Not a member
Member
Student Affiliate Member
*Symposium Fees: $77 for
standard registration and $31 for students
(add $5 for paypal/credit card on the day,
onsite registration)
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registration payment is your next step: PayPal(+$2)
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Terms of Agreement
The occurrence of this symposium is subject to acts of
God, war, government regulation, disaster, strikes, civil disorder,
curtailment of transportation facilities or any other emergency making
it impossible to hold the symposium. In the event of such occurrences,
every effort will be made to issue a refund, however there is no guarantee of one. Symposium schedule is subject to change.
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