2026 European Pregnancy Help Leaders Summit - Berlin

Please complete the information below to register. Please complete a separate registration and unique email for each individual attending the conference. PLEASE NOTE: if you are affiliated and are registering two people, you will need to enter your credit card information in order to proceed to registering attendee number 2. Your credit card will not be charged.

How many people are you registering? *

Summit Registration Information

Email (Main) *

First Name *

Nickname

Last Name *

Street Address (MailingAddress) *

City (MailingAddress) *

Country (MailingAddress) *

State (MailingAddress) *

Postal Code (MailingAddress) *

Position in Organization *

Gender *

Female Male

Event Fee(s)

All prices are per person.

Event Fee(s) *

Current Affiliates: double occupancy (2 per organization) - $ 0.00

Non Affiliate: double occupancy, registration, meals - $ 500.00

Affiliate: 3rd and 4th attendees: double occupancy, registration, meals - $ 400.00

Total for this participant

Credit Card

If you have a PayPal account, you can click the PayPal button to continue. Otherwise, fill in the credit card and billing information on this form and click Continue at the bottom of the page.

Checkout securely. Pay without sharing your financial information.

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

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