Registration Form

Fees*
Non-refundable after November 12
 
Early Bird Registration, members & non-members (Through Oct. 31)$500
Standard Registration, member rate (Nov. 1 – 30)$575
Standard Registration, non-member rate (Nov. 1 – 30)$700
Late Registration, members (December 1 and onward)$675
Late Registration, non-members (December 1 and onward)$750
Site Visits (optional)$250
International Funders Working Group Dinner Dec. 5 (Members only)$50
 
* Fees are calculated per person. Should a foundation wish to send more than one representative, FRE offers a $100 discount for each attendee after the first registration. To receive the discount, the foundation must register all of its attendees at the same time.
If cost is an issue, please contact FRE Executive Director Denise Shannon


Registration Policy: You must be a staff person, board member, or trustee of a grantmaking institution or affinity group to attend the Funders for Reproductive Equity Annual Meeting. (Consultants are not eligible to attend.)

Questions? Contact FRE Operations Director Narada Lee

(*) indicates required field

Registrant's First Name(*)
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Registrant's Last Name(*)
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Title
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Foundation(*)
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Address 1(*)
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Address 2
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City(*)
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State(*)
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Zip Code(*)
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Telephone(*)
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Mobile Phone(*)
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Fax
Email Address(*)
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Registrant's Position


Attendee Names (if more than one)
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Affinity Group
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Emergency Contact Information
Name(*)
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Relationship(*)
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Contact's Phone(*)
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Contact Phone alt.
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Please tell us what you need, including any mobility, audio, or visual access requirements, to fully participate in the conference. If filling out the form for more than one attendee, please indicate names requiring special needs.
Accessibility
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Please indicate if you have any dietary restrictions. If filling out the form for more than one attendee, please indicate names and restrictions.
Dietary Restrictions
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Optional Events, Dec. 4th through 6th
- Site visits in and around Austin focused on public policy, community organizing, racial equity and service delivery related to reproductive health, rights and justice, as well as other intersecting issues.
- International Funders Working Group dinner
Number of Site Visit attendees, Tue., Dec. 4, @ $250/person incl. lunch
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Site Visit Name(s)
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Number of Intl Funders WG Dinner attendees, Wed. Dec. 5, @50/person
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Int'l Funders WG Dinner Attendee Names
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**** Discount Pricing: First registration at full price; $100 off additional registrations when more than one person from the same foundation registers at the same time. ****
Number of Conference Registrations
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Registration Cost (ea.) - Not refundable after Nov. 12(*)
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Payment Type(*)
Please choose one.
If "Online" is chosen, you will be redirected to the website of Funders for Reproductive Equity's chosen payment processor, Payjunction, for secure credit card processing. Please note that we only accept VISA, Mastercard, and American Express, either online or by mail/phone.
*If paying by check or CC by mail, please mail to: Funders for Reproductive Equity, P.O. Box 750, Rockville, MD, 20848-0750
Helps Fight Spam(*)
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A confirmation email of this registration will be sent to the email address that was entered.