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Scientific Symposium tickets INCLUDE admission to both Scientific Symposium & Family Conference.

Step 1 of 5

Select Tickets *

IN-PERSON Standard Ticket - $400.00
IN-PERSON Nonprofit Advocate Ticket - $100.00
IN-PERSON Student/Trainee Ticket - $50.00
VIRTUAL ACCESS ONLY - $50.00

A Standard ticket is for medical professionals, researchers, industry/pharma/biotech representatives. A Nonprofit Advocate ticket is for our nonprofit representatives not affiliated with a medical facility and/or educational institution. A Student/Trainee ticket is for individuals still pursuing their medical or other advanced degree.

Subtotal Amount

$0.00

What type of leukodystrophy are you primarily interested in? *

If English is not your primary language, what language is?

We are collecting this information to be sure our closed captioning options offered on Zoom will include the languages needed to make our Conference accessible to all.

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Payment & Optional Donation

Main Contact Name *

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Last

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Email *

Phone Number *

Would you like to receive our quarterly E-newsletter to the email address provided above?

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Promo Code

Optional Additional Donation to help a family attend the conference.

Your support of the ULF will allow us to keep our Family Conference affordable to families! We will use these funds to help families in need of financial support attend our conference. Thank you for your additional donation!

Total

$0.00

ULF Code of Conduct

Click here to read the ULF's Code of Conduct.

Check to Confirm: *

I acknowledge that I have read and agree to abide by the the Code of Conduct.
I acknowledge that upon submitting this form, my orders are final and no refunds will be given.

Use of Voice, Image, or Likeness: *

I give the United Leukodystrophy Foundation permission to use my voice, image or likeness, with or without using my name, for any purposes the ULF deems approriate in its reasonable discretion, except to the extent expressly prohibited by law.

Information Sharing:

I give the United Leukodystrophy Foundation permission to share my name, contact information, and self-identified leukodystrophy interest, with the appropriate Patient Advocacy Group that is a content partner with the ULF.
I give the United Leukodystrophy Foundation permission to share my name, contact information, and self-identified leukodystrophy interest, with other Family Conference attendees.

If you have any issues using the form below, please reach out to the ULF Office at 815-748-3211, Monday through Friday from 9 AM to 5 PM Central, or by email at office@ulf.org. Check your email (and spam folder if needed!) for your confirmation message!

2024 Scientific Symposium Registration

Register Here!

Tell us who is coming!

Meal Planning

Payment & Optional Donation

ULF Code of Conduct

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