EmailMeForm
2024 CAFCC Annual Conference Registration
Please submit this form to complete your registration for the
2024 CAFCC Annual Conference
, held on October 25-26th at the Direct Relief Headquarters in Santa Barbara, CA.
You may contact Alvin Chan at achan@californiafreeclinics.org if you have any questions.
If you are using the Safari web browser, an error message may appear at the bottom of the page stating "Could not connect to PayPal merchant account." If so, please use a compatible web browser (e.g., Microsoft Edge, Google Chrome, Mozilla Firefox) to complete your conference registration.
Name
*
First
Last
Phone
*
###
-
###
-
####
Email
*
Job Title
Name of Organization
Organization Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Registration Type
*
CAFCC Member ($50)
CAFCC Non-member ($75)
Student ($25)
Which days of the conference will you be attending?
*
Day 1
Day 2
Both Days
Please note that the registration fee covers your attendance for both days.
Do you have any accessibility or dietary needs?
Total
$0.00