In order to complete your registration for the symposium, please complete
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 Camille Peres,
Registration Form
Required information is marked with * |
Name and affiliation |
*First name: |
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MI: |
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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, 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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Preferred Phone: |
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Fax: |
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*Email: |
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*Registration
selection:
Standard registration with standard HHFES membership - $60 ($50 + $10)
Standard registration without standard HHFES membership - $50
Student registration with student HHFES membership - $30 ($25 +$5)
Student registration without student HHFES membership - $25 |
Chapter Distribution List
Houston HFES uses an email distribution list to announce chapter events--typically 5 to 10 emails a year. If you would not like your information added the Houston Chapter's email distribution list, please select the following box. You may remove yourself from the list by sending an email to membership@houstonhfes.org.
Do not add me to the distribution list. |
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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