User Registration
Username*
Name (First and Last Only)*
Suffix*
Organization*
Email*
Password*
Verify Password*
Degree*
Specialty*
If Other: 
Clinical Interest*
Antimicrobials/Antibiotics  Cardiology/Cardiovascular  Cancer  Diabetes  Hepatitis  HIV/AIDS  Human Genomics  MRSA/VRE  Nephrology/Kidney Disease  Organ Transplantation  Urology/Prostate Cancer  Vaccines/Immunizations 
Are you employed by a pharmaceutical company?*
Yes No No Response   If yes, how? 
Street/Address*
City/Town*
Province/State or Not applicable*
Country*
Postal Code/Zip*
Health Professional*
I certify that I am a healthcare professional 
Phone (for notification purposes only)*
Fax*
Save Login Information*
Save my information on this computer so that I can register for events without logging in each time
Save my information for 24 hours after each login to reduce how often I must log in
Do not save my information, I will log in each time I want to register for an event. This is the best option for a public computer.
Receive occasional email notices
from administrators and moderators?
*
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Disclaimer*

I agree to the above