Edit Attendee

Registration Type *

Exhibitor Registration

Each exhibitor receives a 6’ covered table and a chair.

Included in the fee is 1 full registration (including meal package). Additional registrants can be added on within the exhibitor registration process.

Full Registration

Includes attendance to all meetings & seminars and the full 8-meal-package.

Partial Registration

ONLY includes attendance beginning Friday evening + supper Friday night through breakfast on Sunday

Student Subsidy

For Medical/Dental Students only

When approved, includes lodging, registration and meals.

Missionary Subsidy

For missionaries and international attendees only

When approved may include lodging, registration and meals.

Are you a member of AMEN

Yes, please enter your discount code

No, we welcome you to the conference

Discount Code

Thank you for your interest in attending the AMEN Conference as a student. You must be a member before you register. You may Join AMEN here.

Attendee *

Partial Registration (Friday Supper - Sunday Breakfast) *

PARTIAL REGISTRATION

Partial registration begins with supper on Friday night and includes all meals and meetings for the rest of the weekend. - It does NOT include the seminars Friday afternoon.

Discounts

I am a medical, dental or optometry resident

I am a pastor

Exhibitor Registration

Exhibitor *

Add-on Exhibit Space

Add-on Space - $225

Will items be sold/promoted at your booth? *

Yes

No

Please describe/list items to be promoted and/or sold. *

Summarizing is acceptable for written materials. For example: 'Books fitting the mission of AMEN published by Pacific Press' or Glad Tidings Publishers would be sufficient for those organizations.

Addons

Electricity for Exhibit Space - Free for regular use

Organization *

Mission *

Goal *

Medical/Dental Resident

Name of Residency Program *

Year of Completion *

Student Registration

Student Subsidy Application & Instructions

The AMEN board generously offers a subsidy to currently enrolled medical and dental students (& their spouse) to attend the AMEN annual conference in Indian Wells, CA October 31 – November 3, 2024. The board is committed to mentoring young physicians and dentists so they can begin their careers not only as medical professionals but as true medical evangelists right from the beginning. For more information and a list of requirements, please go to: amensda.org/conference/student-subsidy

Agreement

By submitting this subsidy, I confirm that I want to attend the AMEN conference to learn how to share Christ through medical evangelism and I will attend the meetings. I am also willing to sign up to volunteer while I am at the conference (such as usher, musician, meal ticket scanner, etc).

Registration Deposit Method (admin) *

Credit Card

Check

Your refundable $100 deposit may be made by mailing a check to
AMEN
PO Box 2528
Greeneville, TN 37744
Please write STUDENT ATTENDEE DEPOSIT on the memo line of the check so your check will not be cashed. Checks will be destroyed and PayPal deposits refunded by November 15, 2022 UNLESS you do not show up or if you cancel AFTER October 16, 2022.

Medical/dental school *

Area of Study *

Graduation Year *

Arrival Date *

Departure Date *

Roommate Type * Roommate Type

Gender *

Spouse Name

I confirm that my spouse and I are already married *

Yes

Missionary

Please list your approximate annual income

Convert to dollars if possible, or list the currency and we will convert it.

1. Please state your reasons for why you need a subsidy to attend the AMEN conference. Please include your reasons for wanting to attend the conference, your professional background, and plans for how you hope to further the mission of AMEN. *

2. Please attach a letter of good standing from your church pastor (letter must be on church letterhead) *

Maximum file size: 67.11MB

3. Please note, we do not pay for airfare to attend the conference. Also, the subsidy granted may only be for a portion of the total conference cost, and not the full amount. *

I accept the conditions

First Name *

Last Name *

Degree (as you want it to appear on your name badge)

Not required

Specialty

City *

State * State

Select other for international

Cell Phone *

Email *

Age *

Please list any medical conditions, food allergies, etc.

Continuing Education

Dental License #

Medical License #

Is this your first AMEN conference? *

Yes

No

I am planning on attending the business meeting on Thursday 10/31 at 5:00pm. *

Yes

No

Registration Total

$

Admin

Captcha

Exhibitor Registration

Full Registration

Partial Registration

Student Subsidy

Missionary Subsidy

Thank you for your interest in attending the AMEN Conference as a student. You must be a member before you register. You may Join AMEN here.

Exhibitor Registration

Medical/Dental Resident

Student Registration

Missionary

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Admin