Online Registration

ISSWSH Fall Course 2024
November 7-10, 2024, Scottsdale, AZ

Before you start your registration, please note:

You are required to complete all steps to register.
You can return to a previous step to make changes.
It is not possible to save or return to an incomplete registration.

Personal details

First name*

Middle name

Last name*

Primary Job Function*

Degree

Organization*

Department

Function*

Special needs / remarks:

Address

Mailing address*

Institute

Home

Address*

Country*

State

Zip code*

City*

Delegate e-mail*

Secondary e-mail

Telephone*

Attendee category

ISSWSH Members
	Physician - ISSWSH Member
	Non-Physician/Health Professional - ISSWSH Member
	Early Career Professionals (physician)* - ISSWSH Member
	Early Career Professionals* - ISSWSH Member
	Fellow** - ISSWSH Member
	Resident** - ISSWSH Member
	Student*** - ISSWSH Member
Non Members
	Physician - Non Member
	Non-Physician/Health Professional - Non Member
	Early Career Professionals (physician)* - Non Member
	Early Career Professionals* - Non Member
	Fellow** - Non Member
	Resident** - Non Member
	Student*** - Non Member
	Corporate Representative****

*A copy of a recent diploma (must be within the last 2 years) will be required to qualify for Early Career Professional
**A letter of the chairman of the department is compulsory
***A copy of your valid student ID card or a letter from your institution (on their letterhead) verifying your status should be sent to the ISSWSH Executive Office at meeting@isswsh.org
****Full-time employees of companies with a product or service to exhibit, who are attending for educational purposes only. This registration category is not for employees of a registered exhibiting company. Those registrations are handled by the appointed meeting contact from your company

ISSWSH Fall Course 2024November 7-10, 2024, Scottsdale, AZ

ISSWSH Fall Course 2024
November 7-10, 2024, Scottsdale, AZ