2019 Conference Registration Form

2019 Conference Registration Form

2019 Morgellons Conference Registration Form

Fill out the form below to register for the 12th Annual Medical

Scientific Conference on Morgellons Disease held April 6-7, 2019 in Austin, TX. To learn more about the event, visit the 2019 conference page. To learn more about pricing and alternative ways to register, scroll below the form.

Your paypal receipt is your conference registration confirmation. No other confirmations will be sent.

  • Please enter a value between 0 and 100.
Alternative Methods of Registration

WHEN: April 6 – 7, 2019
WHERE: Austin, TX

Early registration – January 17, 2019 – February 17, 2019: $125.00
Regular registration – February 18, 2019 – March 18, 2019: $150
*Late registration – March 19, 2019 and after: $175
*Please note that Saturday Evening Reception may not be available with late registration.
Students registration without evening reception – submitted by March 15, 2014: $35.00
(must show valid student ID at check-in)
Students registration with evening reception – submitted by March 15, 2014: $55.00

Contribute registration using PayPal : Please include note “Conference 2019 Registration” when registering through PayPal. Your PayPal receipt # is your conference confirmation. Click here to donate using PayPal.

Alternative Methods of Registration

Email:

  • Send your registration information to events@thecehf.org
  • Please put “2018 Conference Registration” in the subject line.
  • When using PayPal for registration contribution, please include the confirmation # in your email registration, and Name(s) of each person attending in your group.

US Postal:

Include completed form and check payable to:

The Charles E. Holman Morgellons Disease Foundation
P. O. Box 1109
Lone Star, TX 75668

The Charles E. Holman Foundation Morgellons Disease Foundation is a non-profit organization with IRS 501 (c) (3) status.