FOCUS 2019 Conference - Memphis Tennessee 2-Days Registration - $275 1-Day Registration - $175 As you proceed to register, consider bringing your partner and making a tax-deductible “getaway mini-vacation” out of the conference. Significant-others may attend the entire 2-day event enjoying all events and lectures (no ceu’s however) for only $100 or they can do so for one day for only $75. We also provide a $50 discount to active duty, veterans and students, however, people claiming these discounts can not use this online registration system, but instead must complete a hard copy registration form available HERE. Additionally, if you cannot attend for both days, remember that you can attend for either day of the conference and still earn credits. On Friday, one can earn 6-7 credits and on Saturday one can earn 6-8 credits. The price of our 1-day registration is $150 (either day). Online Registration for FOCUS 2019 in Memphis, Tennessee (asterisked fields are required)*2-Days Registration1-Day RegistrationChoose the one day of the FOCUS conference that you wish to attend*Friday, September 20Saturday, September 21Please choose one of the 3 tracks below that you will primarily be attending*For seating purposes indicate below the track you will primarily attend. You will not be restricted to that track. The AAST & BRPT will only grant credits for lectures in Focus’ Sleep track. The AARC will grant CRCEs for all lectures presented at the conference. I will primarily be attending the Respiratory Care track of lectures. I will primarily be attending the Sleep track of lectures. I will primarily be attending the Pulmonary Diagnostics track of lectures. Name* First Last Primary Credential (one credential only please)*CPFTCRTCRT & RPSGTMDNONEPhDRCPRPFTRPSGTRRTRRT & RPSGTRRT-NPSRNRSTCCSHJob Title:*Respiratory Therapy Department DirectorRespiratory Therapy Assistant Director, Supervisor or Clinical CoordinatorRespiratory Therapy Homecare ManagerRespiratory Therapy Homecare Staff TherapistPulmonary Function TechnologistRT/Sleep School EducatorSleep Lab ManagerSleep Lab Staff TechnologistOther TitlePlease specify*AARC # (if a member)BRPT # (if a member)AAST # (if a member)CE Broker # (if a member)Name of EmployerHome Phone Number*Home Address* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Non-institutional E-Mail Address*A personal email address is required to receive an email confirmation. Significant-Other Registration 2-days*My Significant-Other will attend the FOCUS ConferenceI will not be bringing a significant-otherSignificant-Other Registration 1-day*My Significant-Other will attend the FOCUS ConferenceI will not be bringing a significant-otherName of Significant Other First Last Primary Credential of Significant Other (if applicable)*(one credential only please)CPFTCRTCRT & RPSGTMDNONEPhDRCPRPFTRPSGTRRTRRT & RPSGTRRT-NPSRNRSTCCSHTotal $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name (Please include the middle initial if it appears on your credit card) Billing Zip Code* ZIP / Postal Code CommentsThis field is for validation purposes and should be left unchanged.