2020 TB Education and Training Network (ETN) &
TB Program Evaluation Network (PEN) Conference

Registration form

Please submit your conference registration as soon as possible, but no later than August 14, 2020.

There is no registration fee!

Conference Date: September 22-24, 2020
Location: Marriot Courtyard Decatur
130 Clairemont Avenue, Decatur, Georgia 30030

Question Title

* 1. Name (First and Last)

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* 2. Job Title

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* 3. Organization

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* 4. Contact Information

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 5. Please select one of the following choices to indicate if you are a Focal Point

Education and Training Focal Point

Program Evaluation Focal Point

Dual Education and Training & Program Evaluation Focal Point

N/A

Question Title

* 6. Are you a member of TB ETN?
To join TB ETN, please complete a registration form, and e-mail tbetn@cdc.gov.

Yes

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* 7. Are you a member of TB PEN?
To join TB PEN and receive updates, please send a request to tbpen@cdc.gov.

Yes

For more information regarding TB ETN, please contact Peri Hopkins at phopkins@cdc.gov or 404-639-8988.

For more information regarding TB PEN, please contact Eva Trinh at etrinh@cdc.gov or 770-488-4010.

Thank you.

Question Title

* 1. Name (First and Last)

Question Title

* 2. Job Title

Question Title

* 3. Organization

Question Title

* 4. Contact Information

Question Title

* 5. Please select one of the following choices to indicate if you are a Focal Point

Question Title

* 6. Are you a member of TB ETN?To join TB ETN, please complete a registration form, and e-mail tbetn@cdc.gov.

Question Title

* 7. Are you a member of TB PEN?To join TB PEN and receive updates, please send a request to tbpen@cdc.gov.

* 6. Are you a member of TB ETN?
To join TB ETN, please complete a registration form, and e-mail tbetn@cdc.gov.

* 7. Are you a member of TB PEN?
To join TB PEN and receive updates, please send a request to tbpen@cdc.gov.