2016 Conference Registration Form
2016 Morgellons Conference Registration Form
Fill out the form below to register for the 9th Annual Medical – Scientific Conference on Morgellons Disease held April 30 – May 1, 2016 in Austin, TX. To learn more about the event, visit the 2016 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.
WHEN: April 30 – May 1, 2016
WHERE: Austin, TX
Wyndham Garden Hotel & Woodward Conference Center
Address: 3401 North Interstate 35 Frontage Road, Austin,TX 78741
- Early registration – Monday, February 22, 2016 thru March 27, 2016: $100.00
- Regular registration – Monday, March 28, 2016 thru Sunday, April 24 2016: $125
- *Late registration – Monday, April 25, 2016 and after : $150
*Please note that Saturday Evening Reception may not be available with late registration.
- Students registration without evening reception – submitted by April 24, 2016: $40.00
(must show valid student ID at check-in)
- Students registration with evening reception – submitted by April 24, 2016: $60.00
Contribute registration using PayPal: Please include note “Conference 2016 Registration” when registering through PayPal. Your PayPal receipt # is your conference confirmation. Click here to donate using PayPal: http://ch.sandbox/donate/
Alternative Methods of Registration
Send your registration information to email@example.com
Please put “2016 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.
Include completed form and check payable to:
Charles E. Holman Morgellons Disease Foundation
PO Box 92674
Austin, TX 78709
The Charles E. Holman Foundation Morgellons Disease Foundation is a non-profit organization with IRS 501 (c) (3) status.