2024 APAMSA Hepatitis B/C Conference Travel Subsidy Application 
We hope that anyone who wishes to attend the hepatitis conference will be able to do so without financial barriers. Therefore, we are excited to be able to provide the first 30 chapters a $100 subsidy towards their travel and other conference expenses. Subsidies will be awarded by institution, so please have only one representative per chapter complete this application. Awards will be determined based on attendance and provided as reimbursements after the conference. If you have any questions, please contact us at hepatitis@apamsa.org. 
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First Name

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Last Name *
Email *
Institution *
Has your chapter ever attended the APAMSA Hepatitis Conference? *
Number of projected attendees from your chapter *
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