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ERA Conference Registration Information
2025 ERA Conference Registration Form
Please enable JavaScript in your browser to complete this form.
STOP! Are you planning on registering for a sponsorship level that comes with complimentary registration(s)? If so, you must register for the sponsorship first. You may do so
HERE.
Then return to this page to register your attendees.
Contact Name
*
Contact Email Address
*
Contact Phone
*
The reservation contact receives copies of all ERA conference communications to attendees.
Company Name
*
City
State/Territory
Country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
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Belize
Benin
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Bosnia and Herzegovina
Botswana
Bouvet Island
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Burundi
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Cameroon
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Chad
Chile
China
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India
Indonesia
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Iraq
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Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
Korea (Democratic People's Republic of)
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Lao People's Democratic Republic
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Lebanon
Lesotho
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Libya
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Maldives
Mali
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Poland
Portugal
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Qatar
Réunion
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Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
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Saint Martin (French part)
Saint Pierre and Miquelon
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Samoa
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Senegal
Serbia
Seychelles
Sierra Leone
Singapore
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Slovakia
Slovenia
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Somalia
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South Sudan
Spain
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Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States of America
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
ATTENDEE TYPE
Representative
Manufacturer
Distributor
Exhibitor
Presenter
Other
Are you an ERA member?
YES
NO
No, but interested in membership
Interested in ERA membership? Contact Ama Derringer, Membership Coordinator, at
aderringer@era.org
for more information.
The registered attendees below are complimentary as part of a sponsorship package.
*
Yes
No
Register All Conference Attendees Below
Please include email and cell phone info for all attendees below so we may provide them with updates and other important information about the conference.
Attendee 1 – Full Name
Attendee 1 – Email Address
Attendee 1 – Cell Phone #
Title/Role
Estimated # of Years in Industry
Attendee 2 – Full Name
Attendee 2 – Email Address
Attendee 2 – Cell Phone #
Title/Role
Estimated # of Years in Industry
Attendee 3 – Full Name
Attendee 3 – Email Address
Attendee 3 – Cell Phone #
Title/Role
Estimated # of Years in Industry
Attendee 4 – Full Name
Attendee 4 – Email Address
Attendee 4 – Cell Phone #
Title/Role
Estimated # of Years in Industry
Attendee 5 – Full Name
Attendee 5 – Email Address
Attendee 5 – Cell Phone #
Title/Role
Estimated # of Years in Industry
Attendee 6 – Full Name
Attendee 6 – Email Address
Attendee 6 – Cell Phone #
Title/Role
Estimated # of Years in Industry
Payment
Select preferred payment option below.
I will submit attendee registration payment in full online. (below)
Please invoice me for the full amount.
Choose the correct registration and payment option from the below dropdown menu and then submit your secure payment.
SELECT – $0.00
1 Attendee – ERA MEMBER – $995.00
2 Attendees – ERA MEMBERS – $1,990.00
3 Attendees – ERA MEMBERS – $2,840.00
4 Attendees – ERA MEMBERS – $3,690.00
5 Attendees – ERA MEMBERS – $4,540.00
6 Attendees – ERA MEMBERS – $5,390.00
1 Attendee – ERA NON-MEMBER – $1,395.00
2 Attendees – ERA NON-MEMBERS – $2,790.00
3 Attendees – ERA NON-MEMBERS – $4,185.00
4 Attendees – ERA NON-MEMBERS – $5,580.00
5 Attendees – ERA NON-MEMBERS – $6,975.00
6 Attendees – ERA NON-MEMBERS – $8,370.00
Total
$0.00
Credit Card
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Please note: The main contact email address given above will receive an electronic receipt. Check your spam folder if you are unable to locate the receipt in your inbox.
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