Register: M2010 Pre-Conference Workshop Survey

1. Register: M2010 Pre-Conference Workshop

M2010 PRE-CONFERENCE WORKSHOP

On Saturday, 22nd May, the Global Campaign for Microbicides (GCM)—in close partnership with the African Microbicides Advocacy Group (AMAG), AVAC (Global Advocacy for HIV Prevention Research), the International Rectal Microbicides Advocates (IRMA), and the Pittsburgh AIDS Task Force (PATF)—will hold a day-long pre-conference workshop before the start of the official opening ceremony of the 2010 International Microbicides Conference (M2010).

The pre-conference workshop will feature seasoned advocates and researchers from the HIV prevention research field who will provide new and experienced advocates, community representatives, and trial staff with latest updates and previews on topics to be presented at the conference. An array of thematic skills-building sessions.

Saturday, 22 May 2010
8:30am-3:30 pm
(Lunch will be provided)

Westin Convention Center Hotel, Pittsburgh
Westmoreland Room, 2nd floor

Directions: The Westin Hotel is directly connected
to the David L. Lawrence Convention by a skywalk.

Please provide your contact information to complete your registration. Name:
Organization/Affliliation:
Mailing Address 1:
Mailing Address 2:
City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:

	Very Familiar	Somewhat Familiar	Not Familiar
Microbicides	*Please rate your familiarity with HIV prevention research in the following areas: Microbicides Very Familiar	Microbicides Somewhat Familiar	Microbicides Not Familiar
Vaccines	Vaccines Very Familiar	Vaccines Somewhat Familiar	Vaccines Not Familiar
Pre-exposure Prophylaxis (PrEP)	Pre-exposure Prophylaxis (PrEP) Very Familiar	Pre-exposure Prophylaxis (PrEP) Somewhat Familiar	Pre-exposure Prophylaxis (PrEP) Not Familiar
Medical Male Circumcision	Medical Male Circumcision Very Familiar	Medical Male Circumcision Somewhat Familiar	Medical Male Circumcision Not Familiar
Female Condoms	Female Condoms Very Familiar	Female Condoms Somewhat Familiar	Female Condoms Not Familiar

	I am already a member/signed-up	I would like to be added as a member
GC News, GCM's e-newsletter	*Please let us know how you are already involved with us--or how you would like to get invovled! Please check all that apply. GC News, GCM's e-newsletter I am already a member/signed-up	GC News, GCM's e-newsletter I would like to be added as a member
AMAG eForum	AMAG eForum I am already a member/signed-up	AMAG eForum I would like to be added as a member
IRMA	IRMA I am already a member/signed-up	IRMA I would like to be added as a member
AVAC Advocates Network	AVAC Advocates Network I am already a member/signed-up	AVAC Advocates Network I would like to be added as a member

Register: M2010 Pre-Conference Workshop
Exit this survey

1. Register: M2010 Pre-Conference Workshop

*
1. I will attend the "M2010 Pre-Conference Workshop" event on Saturday, 22 May 2010. (Advanced registration is required)

*
2. Please provide your contact information to complete your registration.

*
3. Please rate your familiarity with HIV prevention research in the following areas:

4. Please check all that apply to your current profession:

*
5. I have received a conference scholarship to attend M2010.

6. Please let us know how you are already involved with us--or how you would like to get invovled!

Please check all that apply.

*
7. Would you like to receive updates about other GCM events at the Microbicides 2010 Conference?

*
8. Will you attend the XVIII International AIDS Conference (AIDS 2010) in Vienna, 18-23 July?

Register: M2010 Pre-Conference WorkshopExit this survey

1. Register: M2010 Pre-Conference Workshop

*1. I will attend the "M2010 Pre-Conference Workshop" event on Saturday, 22 May 2010. (Advanced registration is required)

*2. Please provide your contact information to complete your registration.

*3. Please rate your familiarity with HIV prevention research in the following areas:

4. Please check all that apply to your current profession:

*5. I have received a conference scholarship to attend M2010.

6. Please let us know how you are already involved with us--or how you would like to get invovled! Please check all that apply.

*7. Would you like to receive updates about other GCM events at the Microbicides 2010 Conference?

*8. Will you attend the XVIII International AIDS Conference (AIDS 2010) in Vienna, 18-23 July?

Register: M2010 Pre-Conference Workshop
Exit this survey

*
1. I will attend the "M2010 Pre-Conference Workshop" event on Saturday, 22 May 2010. (Advanced registration is required)

*
2. Please provide your contact information to complete your registration.

*
3. Please rate your familiarity with HIV prevention research in the following areas:

*
5. I have received a conference scholarship to attend M2010.

6. Please let us know how you are already involved with us--or how you would like to get invovled!

Please check all that apply.

*
7. Would you like to receive updates about other GCM events at the Microbicides 2010 Conference?

*
8. Will you attend the XVIII International AIDS Conference (AIDS 2010) in Vienna, 18-23 July?