CSHEMA 69th Annual Conference Registration 69th CSHEMA Annual Conference July 9-13th, 2022 MEMBERS: please sign into your account in order for your member discount to be applied. When done correctly it will read "Professional (Includes automatic member discount of: $ 475.00 Discount for active members) - $ 825.00" STUDENT MEMBERS: please sign into your account in order for your member discount to be applied. When done correctly it will read "Undergraduate/Graduate Student (Includes automatic member discount of: $ 100.00 Discount for Student Members) - $ 270.00" NON-MEMBER STUDENTS: If you would like to receive a discount on registration, please send confirmation of your enrollment HERE. Event Attendee First Name * Last Name * Email * Job Title Current Employer * Preferred name on name badge * Dietary Restrictions * Diabetic Gluten/Wheat Allergy Kosher Lactose Intolerant Nut Allergy Vegetarian/Vegan N/A Pollotarian Please include the name & phone number of your emergency contact. Emergency Contact * Mobility Restrictions (unable to walk stairs/far distances) * Event Fee(s) If you have a discount code, enter it here Apply Conference Event Fee(s) Regular Event Fee(s) Professional - $ 1,300.00 Undergraduate/Graduate Student - $ 370.00 Professional One Day - $ 425.00 - none - Pre-Conference Professional Development Seminars If you plan to attend the CSHEMA Professional Development Seminars both days, please select only ONE PDS session per day (one selection for July 9, one selection for July 10) Saturday, July 9, 2022 - 8 hour PDS Sessions - 8:00 AM - 5:00 PM Sunday, July 10, 2022 - 4 hour PDS Sessions - 8:00 AM - 12:00 PM Pre-Conference PDSSaturday, July 9, 2022 July 9, 2022 (4 hr. PDS)- Field Research Safety Workshop | Miriam Sharp - $ 300.00 July 9, 2022- Arts Chemical Safety and Ventilation | Tracy Stark - $ 600.00 July 9, 2022- Working Safely with Nanotechnology | David Breeding - $ 600.00 July 9, 2022- Application of Fire Codes to Laboratories | John DeLaHunt - $ 600.00 July 9, 2022- Storytelling Science + Practice for EHS | Jonathan Klane - $ 600.00 July 9, 2022 - New-NFPA 45 - A Process Safety Approach | Dennis Terpin - $ 600.00 - none - Pre-Conference PDSSunday, July 10, 2022 July 10, 2022- Managing University UAS/Drone Operations | David Breeding - $ 300.00 July 10, 2022- Visual Chemical Safety Working Session | Kathy Malone - $ 300.00 July 10, 2022- Appling NIMS to Campus Emergencies | Dennis Terpin - $ 300.00 July 10, 2022- Building Inclusive Work Cultures | Laurie Battaglia - $ 300.00 - none - Total Payment Options Payment Method Credit Card I will send payment by check Credit Card Card Type - select - Visa MasterCard Amex Discover Card Number * Security Code * Expiration Date * -month- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -year- 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - 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