IPHA Annual Conference 2025 Delegate Registration Form. Delegate Registration Form *denotes required fields Please enable JavaScript in your browser to complete this form.Name of Company *Delegate Name *FirstLastWill you bring a partner (e.g. spouse)? *YesNoIf "Yes", please confirm your partner's name below.Partner NameFirstLastSingle or Double Room Reservation *Single RoomDouble RoomFor the nights of: *Thursday May 22ndFriday May 23rdSaturday May 24thTelephone (GSM) *Please include the international dialling code.Email Address *Special Dietary Requirements * Submit Network, Share Experiences, Access Technical Knowledge Just some of the benefits our members enjoy.
