2026 Attendee Registration

2026 Fall Conference Participant Registration Form

Participant Registration for this event

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Name*

First Last

Where do you work?*

What is your title?*

Are you an APIC member?*

Yes

Are you an APIC Chapter member?*

Yes, I am a member of San Diego & Imperial County Chapter

Yes, I am a member of another Chapter

Email*

Enter Email Confirm Email

Breakout Session Questions/Topics

During the vendor breakout sessions, think about questions you would like answered by our APIC Supporting Members. They may ask you questions on your role in product approval and implementation, sustainability initiatives, your interest in new technologies/solutions, etc.

Registration & Payment Options*

Paypal/Credit Card for $140

My company or I will mail a check $140

There is a 200-person capacity for this event. First come, first served by registration and payment received. Checks must be received 30 days from registration date. Refunds will be offered if requested before October 13, 2026 12:00am PST. No refunds will not be offered thereafter. Please mail check by October 13, 2026: SDIC Treasurer 910 Rosecrans Street, San Diego, CA 92106

Product Name

Price: $90.00

Total

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

APIC | San Diego Chapter

Serving Infection Preventionists in the San Diego and Imperial County Area

2026 Fall Conference Participant Registration Form