Press Room Registration

The American Epilepsy Society's press room provides comprehensive information about the Society, our programs, affliction of epilepsy and industry findings towards a cure.

This registration form is to be used by media representatives ONLY
Each person requiring press badge must fill out a separate registration form
All media badges will be distributed in the onsite press room.

All media representatives must have credentials in order to pick up their press badge.

First Name:

Middle Name:

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Cable/Television Station:

Consumer Health Publication:

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Health-Care Trade Publications:

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Physician/Medical Professional Focused Web site:

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