BIAOH 2019 TBI Summit Registration
Thank you for registering for the BIAOH 2019 TBI Summit. Confirmations of registration will be sent via email after receipt of registration and confirmation of payment. If you have any questions regarding your registration or you do not receive your confirmation within 10 business days of completing your registration, please contact us at Additional information about the Summit is available on our webpage,
Name *
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Organization or Agency
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Email Address *
Registration confirmation will be sent via email. Please check your spam folder to ensure receipt.
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Phone *
We will call only if we have questions about your registration that can't be resolved via email.
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Zip Code
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Type of Registration
Full Day Session Attendees - Will You Attend The Poster Presentations/Lightning Talks?
Are you a current member of BIAOH?
Form of Payment *
PAYMENTS ARE MADE SEPARATE FROM THIS REGISTRATION BY CHECK OR USING PAYPAL. CHECK: Please make checks payable to BIAOH, note "2019 Summit Registration" and the name of the attendee(s) on the check or in an accompanying note, and send to BIAOH, P.O. Box 21325, Columbus, OH 43221. PAYPAL: Please access PayPal using our website,, and clicking on the "donate" button at the top of the home page. Please note "2019" Summit Registration" and the attendee name(s) in the "special instructions to the seller" field. Payments must be received via PayPal or sent by mail postmarked no later than February 15, 2019 to take advantage of discounted rates. Registration is first come, first served and confirmed upon receipt of payment and registration.
I Am Requesting Continuing Education Certification In:
The Fine Print - Please Read
Photo Consent: BIAOH may take photos and/or make audio or video recordings of this event for use on the BIAOH website and other BIAOH materials and publications. Registration and attendance at this event constitutes an agreement by the attendee for BIAOH to use attendee's image captured during this event.

Cancellation and Refund Policy: Attendees needing to cancel must do so in writing via email sent to no less than 7 business days prior to the event and will be subject to a $30 service charge. Substitutions may be made up to 7 business days prior to the event and are not subject to a service charge. We regret that refunds cannot be given for cancellations received fewer than 7 days prior to the event.

* Discounts: Discounted registration available to those who register and for whom payment is received or postmarked no later than February 15, 2019. BIAOH Members enjoy more discounts! Look for your email with more information or contact Emily Smith at for more information.

If you have any questions regarding registration please contact Emily Smith at

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