Hosted by ANR Foundation October 14-17, 2024
The Sofitel at Rittenhouse Square - Philadelphia, Pennsylvania 
www.clearingtheairinstitute.com
Please complete this form and submit it via email to CTA@no-smoke.org.
ANR Foundation staff will review your application and contact you when you the review is complete. All information provided is confidential and will only be reviewed by the conference organizers.
Individuals who work for or who are affiliated with commercial tobacco, electronic smoking/cigarette, or marijuana industries are not eligible to attend this meeting.
General Information:

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* 1. First Name

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* 2. Last Name

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* 3. Organization/Coalition

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* 4. Job Title/Coalition Role

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* 5. Email Address

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* 6. Phone Number: (xxx) xxx-xxxx

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* 7. Address

Tell Us About Yourself:

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* 8. Please tell us briefly about your background in commercial tobacco control and prevention, your current or planned work in the field of secondhand smoke, and what you hope to gain through your attendance at the conference.

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* 9. Conflict of Interest Certification:
I certify that I do not have any relationship with commercial tobacco, marijuana/cannabis, and/or the electronic smoking device or any allied organization. Should that change, I certify that I will notify ANR Foundation and/or forfeit my registration.

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* 10. Have you attended a previous Clearing the Air® Institute?
Select all that apply.

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* 11. If No, How did you hear about Clearing the Air®?

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* 12. Name of person who referred you/other source:

Accomodations: 

We are thrilled to bring the 12th Clearing the Air® Institute to Philadelphia! Our meeting will take place at The Sofitel at Rittenhouse Square, where we have also reserved a room block.

More details regarding accommodations will be shared upon acceptance.

We look forward to hosting the Institute to help foster networking and strategizing with smokefree advocates from all over the country.
What does my registration fee include?

The registration fee includes access to all sessions, meals and snacks (beginning with an optional welcome reception for early arrivals on October 14 and ending with lunch on October 17); free Wi-Fi in all guest and meeting rooms; Institute materials; participation at scheduled events; and follow-up materials. The fee DOES NOT include your lodging or travel cost.

Early Bird – Received between January 22, 2024 and March 15, 2024.
• $995 ANR/F Member*
• $1095 Non-Member
To qualify for the early bird rate, we must receive your application by March 15, 2024.
Upon acceptance, you will receive an invoice (payable within 15 days) and lodging information.

Regular Registration – Received between March 16, 2024 and July 31, 2024.
• $1195 ANR/F Member*
• $1295 Non-Member

Late Registration – Received between August 1, 2024 and October 4, 2024.
• $1395 ANR/F Member*
• $1495 Non-Member

*To become a member or to check the status of your ANR/F membership, please contact heidi.wohlwend@no-smoke.org.

Anyone who is a member, donor, or has Professional Access will receive the ANR/F member rate.
Cancellation Policy:

Early Bird registration is not refundable at any time.

Regular & Late Registration
• 50% refund for cancellations received on or before June 30th
• 25% refund for cancellations received by August 31st
• NO refunds will be given for cancellations on or after September 1st
Sponsorship and Scholarships:

Sponsors help to expand smokefree environments across the country by providing critical resources for the conference and by enabling key participants working on closing the gap in smokefree protections to attend. At the last Institute, 20% of participants were provided with full or partial scholarships, thanks to our sponsors. Clearing the Air® Institute is not a fundraising event for ANR Foundation. We do, however, need financial support to help partially cover the cost of hosting the premier smokefree air conference in the country for some participants.

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* 13. Will you be requesting a partial scholarship? At this time, we can provide limited partial scholarships. Scholarship requests must be made by July 31, 2024.

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* 14. How likely will you be able to attend if we are not able to offer you a partial scholarship?

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* 15. Certain sponsorship levels may also receive free and/or discounted registration for their group. Can your organization serve as a sponsor?

More information is available at clearingtheairinstitute.com/sponsorship-opportunities/.

Thank you!

You have now completed your application. The staff at the ANR Foundation will review your application, and let you know if you have been accepted to join us in Philadelphia. Once accepted, you will receive an invoice for the registration fee.

If you have any questions about the status of your application please send all questions to CTA@no-smoke.org. For more information about the conference please visit www.clearingtheairinstitute.com.

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