My billing address is different to my primary address
If your billing address is different to your primary address e.g. your organisation is paying for your registration, please select 'yes' and provide the information to be included on your invoice below.
PLEASE NOTE: If your LHS or organisation requires a specific billing address to pay invoices then you must select 'yes', and enter the information here to ensure the invoice is correct.
Once an invoice has been issued, we cannot update it for you. Please ensure details are correct before proceeding.
Dietary Requirements
Dietary requirements for registrations made within 7 days of the conference commencement date are not guaranteed.
If your requirement is not listed, please select Other and a text box will be provided for you to specify your requirements
If you do not have any dietary requirements, please select None from the Dropdown list.
Are there any health or mobility requirements we can assist with for your participation at this conference?
If you have any mobility or health requirements that will require assistance for your participation please provide information of how we can assist below:
Disclaimer We are committed to providing an inclusive and accessible conference experience for all attendees. While we will make every effort to accommodate your specific mobility or health requirements, please note that there are budget limitations and timeline considerations that impact our ability to accommodate requirements. Please see Terms and Conditions for more information.
Do you want to be included on the delegate list?
Information on the Delegate List will be provided to sponsors of the conference.
No contact information is included as part of the list. Only your name, position, organisation, state, country and HCP status will be included.
COMMUNICATIONS
Would you like to join the ASHM mailing list?
If you would like to receive conference updates through the ASHM mailing list, please tell us which disease areas you would like to receive updates on, and your specific interest areas.
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ADDITIONAL INFORMATION
Are you a registered health care practitioner? This will be included on your name badge.
How long have you been working in the sector?
How would you describe your main professional affiliation?
Which of the following describes your primary role?
Are you an ASHM Hepatitis B s100 Prescriber?
Have you attended the Viral Hepatitis Conference before?
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SUPPORT COMMUNITY ATTENDANCE
Our Community colleagues who may have limited funding require your help to attend the Conference - (If you do not wish to support click on the 'Next' button below) ASHM is seeking scholarship contributions from companies, industry, government and individuals. All donations of $2.00 and over are tax deductible. Community funding has been drastically cut in recent years. Community attendance is important for the industry to nurture and develop the next generation of researchers, front line workers and experts in infectious diseases. The conference has limited funding for scholarships and we would like to be able to support more of our community colleagues to attend. With your support we will be able to assist by providing a peer supported scholarship registration for community people to register. Please consider making a tax-deductible donation for Community Registration support, managed through the ASHM Gift Fund and the ASHM Scholarship Program, to help more community members to attend. Your contribution will: • Provide support to a community member attendance. Your donation is very much needed, will make a genuine difference and it is deeply appreciated. Read more about the ASHM Gift Fund and donate .
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