2020 BI Online: Multiple Staff Registration

Register multiple staff for the 2020 Birth Institute, or send this link to your staff so they can fill out the questions for themselves. If you have more than 4 staff members to register, complete the survey a second time until all have been recorded.
You can select to call the office with your credit card information, receive an email with links to pay each invoice online (each registration will create a separate invoice) or mail a check with the final total.

This survey does not include pricing; visit aabcbirthinstitute.org to review pricing for registration and special events.

Registration and attendance at, or participation in, AABC meetings and other activities constitutes an agreement by the registrant to the use and distribution of the registrant or attendees' image or voice in photographs, videotapes, electronic reproductions and audiotapes of such events and activities by AABC and other third parties, including but not limited the venue, the host city and the host CVB.

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* 1. How will you be paying?

I, or a representative, will call the AABC office (215-234-8068) to give my credit card information within 3 business days.

Send us an email with the online payment links, and we will pay online within 3 business days.

Send us an email with the grand total, and we will mail a check within 5 business days.

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* 2. If you selected for us to email you with payment information, provide the email address that we should contact.

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* 3. Enter any comments about your registration(s) here.

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* 4. Registrant #1

First and Last Name

Company/Org

Address

City/Town

State

ZIP/Postal Code

Professional Title

Email Address

Phone Number

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* 5. Which registration does this person need? (Additional discounts will be subtracted as appropriate)

General Registration

Student Registration - Note: students do not receive multiple staff discount.

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* 6. Will this person be attending the Directors Network Meeting? Open only to Birth Center Owners and Clinical or Administrative Directors of free-standing birth centers and alongside maternity units. No fee to attend.

Yes

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* 7. I would like to register a 2nd staff member.

Yes