DHUG 2016 Registration

Fields marked with an asterisk (*) are required

* Name:
* Organization:
* Address, line 1:
Address, line 2:
* City:
* State or Province:
* Postal Code:
* Email:
* Office telephone (w/ area code):
* Best way to contact you during the meeting:

* I will attend:

If you are attending the Tuesday evening dinner, please select your entree choice:

* I will be staying at:

If other, please specify (e.g., "Staying with friends," "Live in the area" or the name of your hotel):

Special considerations:

Please advise of any dietary restrictions, food allergies, mobility constraints, medical conditions, or other concerns that we should be aware of as we plan your user group meeting.



Are there any particular topics you would like to hear about during this year’s DHUG meeting?

Registration Type:
 Non-Speaker ($260) Speaker ($150)

Speaker Registration (required for the speaker rate):
Presentation Topic:
Short Abstract of Your Presentation:

Data Harmony Software Used in Your Case Study:

Payment Method:
 PayPal (does not require a PayPal account) Invoice

If Invoicing, please tell us when you would like to be invoiced:
Purchase Order (if applicable):

 Check here if you do NOT want to be included on the networking contacts list. The list is provided only to the current year's DHUG attendees for after-meeting networking purposes. Access Innovations, Inc. and Data Harmony do not share, sell, or distribute the list.

* Type the characters you see above.

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