Location: The Westin Peachtree Plaza, Atlanta, Georgia

September 16th - September 17th, 2024.

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* 1. The REPRESENT! NCCPA Summit starts at 7 a.m. on Monday, Sept. 16th, with breakfast, followed immediately by sessions. Please acknowledge that by completing this registration that you plan on attending. There is a waiting list so please let us know if your plans change and we can open a space for another person. Deadline for registration is June 1, 2024. Please notify us by email pr@nccpa.net with any questions or cancellation.

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* 2. First Name:

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* 3. Last Name with Credentials:

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* 4. Address

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* 5. Employer:

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* 6. Job Title:

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* 7. Do you have any dietary restrictions? (Select all that apply.)

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* 8. Any special needs that may require accommodations to fully participate?

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* 9. I will attend the reception event on Monday, September 16th at The Overlook located at the The Westin Peachtree Plaza.

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* 10. I would like to receive a complimentary ticket to The National Center for Civil and Human Rights for a group event (self-guided tour) on Tuesday, Sept. 17th, starting at 3 pm

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* 11. Are you interested in submitting an abstract for the poster session?
July 1, 2024: Poster application deadline
August 1, 2024: Notification to applicants

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* 12. Are you a PA student? If so, you will be sent another application to submit.

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