REGISTRATION

CPDA 2022 ADJUVANTS & INERTS CONFERENCE 

Please use the form below to register for the upcoming Conference, and to submit payment for the registration fee online.  Or you may contact Carrie Haakana at CPDA directly at 202-531-2232 to submit your payment by phone.   The form below allows for one registration submittal at a time.  Upon submitting the registration you will immediately receive an emailed receipt of your credit card receipt. 

Fees listed below are per person and include attendance to all conference programming.  Hotel accommodations are separate Book here

A multiple registration discount of 25% applies to the third or more registration received from one company. Before you register online, view the attendee registration list. If you are the 3rd+ attendee from your organization select the 25% discount option on your registration type.

Conference Registration Submission Form

Name *

First

Last

Job Title *

Company Name *

Address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone *

Email *

Registrant Type *Member - $ 975.003rd+ Member Attendee Discount (see above) - $ 732.00Non-Member Attendee - $ 1,399.003rd+ Non-Member Attendee Discount (see above) - $ 1,050.00Media/Academia/Government Speaker - $ 0.00CPDA Staff - $ 0.00Send an Invoice - $ 0.00

Total

$ 0.00

Authorize.Net *

Card Number

MM123456789101112Expiration

/

YY2324252627282930313233

Security Code

Please check the following you plan on attending *

• Adjuvant University
• Welcome Reception - Monday, May 1st
• General Session - Tuesday, May 2nd
• Networking Reception - Tuesday, May 2nd
• General Session - Wednesday, May 3rd
• All of the Above
• Unsure

Submit

*Submittal of this registration provides acknowledgement of acceptance to be listed on the published attendee registration list.  If you wish to have your name removed from the published attendee registration list please contact chaakana@cpda.com.