AAGE 2015 Conference "Health Disparities in Aging" Registration
Please complete the form below to register for the conference. Payments will be received on club express. You will be directed the payment website and receive a confirmation of your registration once payment is received. We look forward to seeing you in Miami! The conference will be held at the Modesto Maidique Campus of Florida International University located at 11200 SW 8th Street, Miami, Florida 33199.
Please include complete mailing address including street address, town, state, zip code and country.
Zip Code/Postal Code
I will be attending the conference on the following days:
Check all that apply.
Thursday, February 5, 2015
Friday, February 6, 2015
Saturday, February 7, 2015
Transportation to Campus
We will need to arrange for complimentary parking spaces on campus or shuttle from the conference hotel. Please indicate below your anticipated means of transportation to the Florida International University MMC campus.
Driving a car to campus (will need parking on campus)
Sharing a ride with someone who has a car (no parking needed)
Emergency Contact Name
Emergency Contact Number
Please indicate if you would like to serve as a mentor for a student during the workshop.
What topic/s are you interested in for future meetings?
Registration Fees & Payment
Early Registration (before January 6, 2015)
Student Member $90
Student-non Member $110
Student Member $100
Student-non Member $120
Please direct yourself to the Club Express website in order to submit your registration payment:
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