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HICPAC Online Registration

Date: December 4-5, 2014

Location: The Emory Conference Center
Silverbell Pavilion
1615 Clifton Road NE
Atlanta, Georgia 30329

Registration is required to attend the upcoming HICPAC meeting in person.

Please fill out the form below and click the "Submit" button to complete your registration.

To obtain access to a federal facility, a Photo ID and approval by CDC Security are required. If you are an International attendee, your Passport and Green Card are required in addition to security approval.

Registration Deadline:

US Citizen Registration is November 26, 2014

International Attendee Registration is November 04, 2014 (NOTE – If you attempt to register after this date, security clearance will not be processed in time to attend this meeting.)

Registration Status*:
Full Name* (First, last):
Degrees:
Title: (spell out completely)
Registrant’s Organization (spell out completely)
Address*:
City*:
State*:
Postal Code*:
E-mail address*:
Contact/Phone number*:
Citizenship*:

 

Will you be making a public comment related to the current agenda? Yes No

If yes, please explain:

Please ensure that all fields are completed before submitting.

Note: * required field.

Thank You!

 

 
Contact Us:
  • Centers for Disease Control and Prevention
    1600 Clifton Rd
    Atlanta, GA 30333
  • 800-CDC-INFO
    (800-232-4636)
    TTY: (888) 232-6348
  • Contact CDC–INFO
USA.gov: The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Road Atlanta, GA 30329-4027, USA
800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 - Contact CDC–INFO
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