ERA Virtual Conference Registration

The following form allows for up to 20 attendee registrations and also has an option to upload an attendee list in Word or Excel. Whichever option you choose, you must click the “SUBMIT” button at the bottom of the online form to ensure your registration goes through!

If you are interested in registering 21 or more people from your company and don’t wish to use the file upload feature, please contact Karin Derkacz at kderkacz@era.org.

Cancellation Policy:
Cancellations received on or before Jan. 28, 2021 will be refunded the conference registration fee in total less a $50 per person processing fee. Cancellations received after Jan. 28, 2021, will receive no refund. Attendee substitution will be allowed at no cost up until Friday, Feb. 19.

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Contact Name *

Company *

Contact Email *

Contact Phone *

The reservation contact receives copies of all ERA conference communications to attendees.

City *

State/Territory *

CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia (Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

ATTENDEE TYPE *RepresentativeManufacturerDistributorExhibitorPresenterMedia

Are you an ERA Member?

• YES
• NO

Conference Attendees

If you are registering more than 5 attendees and would like to upload your list, please scroll to the bottom of this form.

IMPORTANT – Please include email for all attendees so we may provide them with updates and other important information about the conference.

Remember, you must click “SUBMIT” at the bottom of this form for the registration to go through!

Attendee 1 full name

Attendee 1 email

Attendee 2 full name

Attendee 2 email

Attendee 3 full name

Attendee 3 email

Attendee 4 full name

Attendee 4 email

Attendee 5 full name

Attendee 5 email

Attendee 6 full name

Attendee 6 email

Attendee 7 full name

Attendee 7 email

Attendee 8 full name

Attendee 8 email

Attendee 9 full name

Attendee 9 email

Attendee 10 full name

Attendee 10 email

Attendee 11 full name

Attendee 11 email

Attendee 12 full name

Attendee 12 email

Attendee 13 full name

Attendee 13 email

Attendee 14 full name

Attendee 14 email

Attendee 15 full name

Attendee 15 email

Attendee 16 full name

Attendee 16 email

Attendee 17 full name

Attendee 17 email

Attendee 18 full name

Attendee 18 email

Attendee 19 full name

Attendee 19 email

Attendee 20 full name

Attendee 20 email

Attendee List Upload

Click or drag a file to this area to upload.

You may upload your attendee list in Word or Excel. Please include full name and email address for each attendee. MAKE SURE TO SELECT YOUR PAYMENT OPTION AND CLICK THE SUBMIT BUTTON AFTER YOU UPLOAD!

Payment Option

Please indicate payment preference

• I will pay online
• I would like to be invoiced
• My registration(s) are included in my sponsorship benefits

After clicking the submit button, you will be brought to the a page where you may make your secure, online payment.

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