Get Las Vegas Cluster Registration Form

This guide provides a clear and supportive overview of how to fill out the Las Vegas Cluster Registration Form online. By following the steps outlined below, users can easily complete the registration process for the event.

Follow the steps to successfully complete the registration form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal information in the designated fields, including your name (first, middle, last), nickname for the name badge, title, organization, address, city/state/zip code, phone, fax, and email.
3. Indicate your membership status by checking the appropriate box: ACHE affiliate, board member or medical staff leader attending with an ACHE affiliate, nonaffiliate, or if applicable, indicate that a membership application is attached.
4. In the section 'Please enroll me in:', circle the rate that applies to you. Then, select the courses you wish to enroll in from the provided list, ensuring to add the total cost at the bottom.
5. Select your method of payment from the options given, such as check or credit card. Input the required payment information, including the amount charged, account number, expiration date, and cardholder's signature.
6. Review all entered information for accuracy. Then, save any changes made to the form, and prepare it for submission.
7. Finally, download, print, or share the completed form as required. You may choose to send it via mail to the specified address or process it online if instructed.

Complete the registration process online to secure your spot at the Las Vegas Cluster events.