ERA Conference Online Registration « Electronic Representatives Association

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Registration is open for the 2020 ERA Conference

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Use the form below to pre-register for the ERA Conference:

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Contact Name *

Contact Email *

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

Company

Address 1

Address 2

City

State/Territory

Zip / Post Code

Country

Phone

Please provide association membership info:

(To make multiple selections, hold down the command key)

Affiliations

Conference attendees:

(Please provide email addresses for all attendees so we may provide them with updates and other important information about the conference.)

ATTENDEE 1 full name

Attendee 1 Badge Nickname

Attendee 1 email

____

ATTENDEE 2 full name

Attendee 2 badge nickname (if applicable)

Attendee 2 email

______

ATTENDEE 3 full name

Attendee 3 badge nickname (if applicable)

Attendee 3 email

____

ATTENDEE 4 full name

Attendee 4 badge nickname (if applicable)

Attendee 4 email

____

ATTENDEE 5 full name

Attendee 5 badge nickname (if applicable)

Attendee 5 email

____

ATTENDEE 6 full name

Attendee 6 badge nickname (if applicable)

Attendee 6 email

PAYMENT TYPE

I will pay online
Please invoice me

Registration is open for the 2020 ERA Conference

. Use the form below to pre-register for the ERA Conference:

Please provide association membership info:

Conference attendees:

.
Use the form below to pre-register for the ERA Conference: