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Registration Information

General Admission ($285.00)
Includes access to keynotes, breakout sessions and trade show floor.
VIP ($550.00)
Includes general admission plus intimate lunch with keynote speaker Dr. Kelly Casperson, high-value gift bag, complimentary coat and bag check, fast-track check-in lane, reserved seating for all sessions (limited tickets available)

If you are interested in registering as a sponsor or exhibitor, please email [email protected]

Personal Information

Name*

Title (if not working, use N/A)*

Company (if not working, use N/A)*

Email*

Cell Number (for emergency use only)*

Do you have an dietary restrictions?

Vegetarian
Gluten Free
Dairy Free
Vegan
Other

Do you require any ADA accommodations to participate in this event?*

What content track are you most interested in?*

Fertility/Pregnancy/Postpartum
Menopause/Perimenopause
Aging/Longevity

How did you hear about this event?*

LinkedIn
Facebook/Instagram
Word of Mouth
Formidable newsletter
Other

Gender

Age Range*

Estimated household income*

Are you the primary health care decision-maker in your household?*

Do you own wearable technology (Oura Ring, Apple Watch, Garmin, etc)?*

Which of these product categories interests you most (select all that apply):

Skin care and beauty products
Wearables, apps and health tech
Sexual wellness and pelvic floor health
Supplements and nutrition
Pharmaceuticals and hormone therapy
Fertility and pregnancy support
Fitness and yoga
Menstrual and feminine hygiene products
Diagnostic tools for bone, gut and reproductive health
Mental health and meditation support
Other

Anything else you'd like us to know:

Running Total

$0.00

Coupon Code

Total

$0.00

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Billing Information

Email*

Name*

Credit Card*

Visa
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American Express
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Address*

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