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In-Person Attendees
2024 AHPBCC Annual Conference Registration - In-Person Attendees
Basic Information and Demographics
I will attend the 2024 conference in-person.
(Required)
Yes
No - "please register at https://ahpbcc.org/virtual-registration-page-2024-conference/
Select your salutation
(Required)
Dr.
Professor
Mr.
Mrs.
Ms.
Other
Preferred salutation (if you choose other)
(Required)
Name
(Required)
First
Last (Surname)
Mobile number with country code
(Required)
Email
(Required)
Professional Information
Name of institution/company
(Required)
Title (examples: Professor of Medicine, Staff Physician, Research Scientist, Student)
(Required)
City in which you currently reside
(Required)
State/Prefecture in which you currently reside
(Required)
Zip
(Required)
Country in which you currently reside
(Required)
Medical or research specialty (examples: Gastroenterologist, Oncologist, Cancer Genomics).
(Required)
Career stage (select one)
(Required)
Pre-Doctoral or Medical Student
Post-Doctoral Trainee, Fellow, Resident Physician, or Physician Trainee
Early Career Physician Scientist, Investigator, or Professional (less than 8 years from training completion)
Mid-Career Physician, Scientist, Investigator, or Professional (9-15 years from training completion)
Established or Senior Physician, Scientist, Investigator, or Professional (greater than 15 years from training completion)
Other, please specify
Career stage (if you choose other)
(Required)
Additional Information
Do you require special dietary restrictions? (select all that apply)
Gluten-free
Halal
Hindu diet
Peanut allergy
Seafood allergy
Vegan
Vegetarian
None
Other, please specify
Other dietary restrictions
Do you have other special requests (wheelchair, accessible room, etc.)
Yes, please specify
No
Other special requests
Emergency contact name (as your host for this event, AHPBCC requires emergency contact information for all conference attendees so that we can provide thorough and timely onsite assistance)
(Required)
Emergency contact phone number with country code *
(Required)
Workshop Attendance (OPTIONAL)
We are offering pre-conference workshops on Wednesday, August 21.
I will attend the Grant-writing workshop (8:00-10:00 AM)
Yes
No
Select one workshop to attend
10:00 AM-Noon - HPB cancer diagnosis and monitoring for pathologists
10:00 AM - 3:00 PM - Surgical skills for HPB disease intervention
10:00 AM - 3:00 PM - Advanced endoscopy
10:00 AM - 3:00 PM - Conducting basic & translational research in Africa
10:00 AM - 3:00 PM - Ultrasonography for HPB disease diagnosis and monitoring
10:00 AM - 3:00 PM - Global Patient Advocacy for HPB Cancers
Hidden
I will attend the Global Advocacy for HPB cancers workshop at 10 AM - 4:00 PM
Yes
No
Registration Fee
Price:
Payment Method
PayPal Checkout
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
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