Annual Conference Overview

Please complete the form below to register for the 2024 Annual Conference

When this form is submitted, you will be redirected to the payment page on our website (https://www.nhicep.org/payment-pagepaypal-2) to secure your spot. Thank you!

Name

First Name

Last Name

Place of Employment

Phone

(###)

###

####

Please list any dietary restrictions or accommodations.

If another person is paying your registration fee, please write who will be paying on your behalf (if not applicable, please write "N/A").

NHICEP Conference