Conference Registration Name(Required) First Last Title(Required)CredentialsEmail(Required) Organization(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneLicense or Registration Number (Pharmacists/Technicians Only)Attendance Type(Required) General Attendee ($125) Student ($75) SD DOH EmployeeCredit CardCardholder NameCard DetailsTotal Cancellation Policy(Required)No Registration will be final until payment is received. All cancellations must be confirmed in writing and must be received by ISD administration by July 31 2022. Cancellations received on or before the July 31 deadline will be assessed a $25 processing fee. Cancellations received after July 31 are not refundable. No Shows are not refundable - no exceptions. Please allow two to three weeks following the conclusion of the conference for refund processing. No refunds will be processed prior to the conference. I have read and understand the cancellation policy
