Register for the Conference

Registration

Registration for SASEAP 2011 is easy. Simply fill out the form, select the registration method that's best for you, sumbit your request, and follow the instructions displayed next. Note: fields with red italic names are required. Registration is $275.00 until August 16, 2011, and $299.00 after that.

Click here to print a registration form. Mail it to SASEAP, 8009 Shellnut Rd., Raleigh, NC 27615. You can fax your information to (919) 846-1431 (no cover sheet required), or mail it to: SASEAP, 8009 Shellnut Rd., Raleigh, NC 27615. (The fax is in a secure location, so your credit card information is safe.)

Click here for answers to frequently asked questions about registration.

Contact Information

*Firstname*
*Lastname*
Title
Organization
*Address*

*City*
State/Province
Zip/Postal Code
Country

*Email*
Phone (Home)	(Just numbers, please. No spaces or punctuation)
(Work)	(Just numbers, please. No spaces or punctuation)

Billing Information

Same as Above

*Firstname*
*Lastname*
*Address*
*Zipcode/Postal Code*

Card Number (no spaces or punctuation-- just numbers as in 4111222233334449)
*Expires*	/
*Card Verification Number*	What is a card verification number?

Dinner Reservations

We will will not attend the reception on Friday night. Adults Children

Choose a Track

We will attend the Basic EP Track Advanced EP Track Clinic Track

Click on Submit to review your charge before accepting it.

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