Thank you for your interest in the AETC training event.
Event Title:
Archived Video: Preferred HIV Regimens
Date:
13-Sep-17
We collect information from each participant in our training activities using the Participant Information Form (PIF).
To complete your registration, please follow the instructions below to create or update your Participant Information Form (PIF).
Please fill in your PIF Unique ID Number.
To create your unique ID number, enter 4 letters and 4 numbers. Any 4 letters may be chosen, but a suggested format is to use the first 2 letters of your first name and first 2 letters of your last name. The numbers should be the 2-digit month and 2-digit day of your birthday. Using the suggested format, John Smith, May 29, would be JOSM0529. The same unique ID number should be used each time this form is completed.. Why is this necessary
PIF ID:
F
F
L
L
M
M
D
D
Name
Birth
We collect the following information solely for the purpose of facilitating the on-line registration process for our events. This information is not stored with or connected to your unique PIF ID.
First Name:
* required
Last Name:
* required
Email:
* required
Employer/Agency: