ES-SSA Annual Meeting Registration

Your Registration Info

First Name *

Last Name *

Email Address *

Name of your Institution *

Are You a Student? *

Yes No

A student is defined as someone enrolled in an undergraduate or graduate program at a higher education institution.

Are you interested in judging student presentations for the Best Student Presentation Award (BSPA)? *

Yes No

Every year we need volunteer judges for the BSPA. Please note that you cannot judge a presentation with you as a co-author. Students may not volunteer as judges.

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Eastern Section-SSA

Member Benefits