2025 Regional RNDS

Saturday, October 4, 2025 | Atlanta
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Ticket & Guest Information

Ticket Level		Quantity
Early Bird SRNA Member ($20) until 7/4		`Number of Early Bird SRNA Member tickets ($20 each)`
Early Bird Non-Member ($25) until 7/4		`Number of Early Bird Non-Member tickets ($25 each)`
Additional Attendee ($5)		`Number of Additional Attendee tickets ($5 each)`
Child (under 18 years old) ($0)		`Number of Child (under 18 years old) tickets ($0 each)`
TOTAL: $0		QTY: 0

Additional Information

What is your or your loved one's rare neuroimmune diagnosis? (Optional)

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Photographs and Video Permissions: I hereby grant permission to the Siegel Rare Neuroimmune Association (SRNA) to utilize my (or my children's) name, biographical material, appearance, performance or voice in any and all manner and media throughout the world for the purpose of promoting, reporting or publicizing SRNA. By signing this form, I also permit SRNA to use any material or parts of materials submitted to SRNA such as stories, articles, essays, blogs for the purpose of promoting, reporting or publicizing SRNA. I understand that no royalty, fees or any other compensation shall become payable to me by reason of such release.

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