GAHTC Members' Conference, Miami 2019
Friday April 5, beginning at noon.
Saturday April 6, ending at 7pm.

To attend the conference, please complete the form below.

GAHTC will cover the cost of meals, as well as a double occupancy room for two nights. International travelers will receive three nights accommodation.

GAHTC can offer a partial reimbursement for flight costs. Each member will receive notice of the amount of travel funding available to them. For best rates, it is recommended that members purchase flights as early as possible.

Please contact Eliana AbuHamdi Murchie at emurchie@mit.edu with any questions.

Last Name *
Your answer
First Name *
Your answer
Email address
Your answer
Address (to receive reimbursements)
Your answer
Travel: Where will you be traveling from? *
Your answer
Estimated travel budget *
GAHTC is able to offer some funding for travel (economy air, train or bus). Please provide here a reasonable estimate of your cost of travel. GAHTC will notify you with how much funding is available.
Your answer
Do you have other sources for travel funding?
If yes, please indicate the amount of funding you expect to receive from other sources.
Your answer
Accommodation: which nights you would like a hotel room for? *
Required
Accommodations will be double occupancy; do you have a GAHTC colleague you would like to share with?
Your answer
Do you have any special dietary requirements?
Your answer
Comments or questions?
Your answer
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