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About
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Registration
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CARPHA 69th Annual Health Research Conference
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Please register via email to
finance-conference@carpha.org
containing list of participants.
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Please submit a copy of your ID as an attachment on the form.
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Credit Card Authorisation Form
, Please fax or email a signed copy to CARPHA at 868-622-2792 or
finance-conference@carpha.org
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Credit Card Authorisation Form
This form has been created in order to allow you to have (CARPHA) conference fees charged to your credit card. Please provide all the information requested below along with a copy of a valid form of identification to ensure prompt processing of registration fees. If you have any problems please call 868-622-4261.
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I certify that all information is complete and accurate. I hereby authorize Caribbean Public Health Agency to collect payment for all charges as indicated in the payment information section of this form by processing a charge to the credit card listed above. I certify that I am the authorized signer of the credit card listed above.
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CARPHA Head office
16-18 Jamaica Blvd,
Federation Park,
Port of Spain,
Trinidad & Tobago
+1-868: 299-0820; 299-0895; 622-4261
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