Attendees » Online Registration

  1. If you wish to register off-line or make changes to an existing registration, please use the PDF Registration Form
  2. Complete the form below.
  3. Select the Payment Button corresponding to your preferred payment method. Please note that registration is executed as soon the selected payment button is pressed.
  4. Credit Card information will be collected after submitting via the "Credit Card" button (Visa or MasterCard ONLY).


(* denotes a required field)

* Region:
* Institution:
* Salutation:
Gender:
First Time Attendee?:

* First/Given Name:
* Last/Family Name:
* Degree: (Ph.D., Sc.D., Dipl.-Ing., etc.)
* Nametag:
(first name or nickname...as you wish it to appear on your nametag)

* Position:
* Organization:
Department:
Division:

* Address:
* City:
State/Province:
* ZIP/Postal Code:
* Country:

(include country code before phone numbers, i.e. +1-800-555-1212)

* Phone:
Mobile:
* Email:

Advisor's Name: (*required for student discount)

Each paper, in order to be published in the conference proceedings and final program, requires at least one author to be registered as an attendee. If you are a Conference Presenter, please enter paper number(s) below.

* Classification: Conference Presenter -- Paper Number
      (If more than one, please separate with a comma)
      Has the presenting author changed since abstract acceptance?
Author
Attendee

* Include email address on participant's list for all conference attendees?


* Provide name and contact information to commercial supporters and conference attendees?


Special Requirements
Dietary:
Physical:

How did you hear about the MicroHematology 2020 Workshop?





* Registration Type

Registration Fee Advanced
On or Before
10-MAR-2020

Standard
11-MAR-2020 to
30-MAR-2020

On-Site
After
30-MAR-2020

Participant $395 $450 $450
Student1 $250 $275 $275
Benefactor Code:
1With Student Advisor's Name




Pre-registration will close on March 30. After March 30, 2020, all prospective attendees will register on-site at the standard rate. Please bring this registration form with payment to on-site registration.

Registration payment, in U.S. Dollars ($) only, is due within 10 days of receipt of your registration. Registration is not valid or complete until payment is received unless other arrangements are made. The registration fee includes program material, (1) Book of Abstracts, Poster and Beer Session, lunches, refreshment/coffee breaks, and a 20% non-refundable cancellation fee. A fee will be charged for all substitutions. All requests for refunds must be received in writing no later than March 30, 2020. No refunds will be made after this date.

* I agree to the above Cancellation Policy

For full information about our data protection practices, please follow the link to our Privacy Policy.

* I consent to the above Privacy Policy

   I do not wish to receive future information regarding the MicroHematology Conference series. I would like for my personal information to be removed from the MicroHematology 2020 database at the conclusion of this conference.