Registration

2018 Indiana Podiatric Medical Association Fall Convention
Hayatt Regency Indianapolis
Indianapolis, IN
October 18-21, 2018

(Please check spelling. Names will appear on name badges as entered.)

Please complete all fields before hitting submit. You will receive a confirmation when the registration is processed. Please give IPMA a few days to process this registration and payment. If you do not receive a confirmation from IPMA after 3 business days, then your registration did not process correctly. Please contact the IPMA office at 888.330.5589.


Registrant Information | confirmation will be sent via email only


Spouse/Guest Information | registration for select meal functions only



Registration

* Registration Fee includes educational sessions, continental breakfast, breaks, and all (Thursday, Friday, and Saturday) lunches
An additional fee of $40 will be added to registrations received after October 11, 2018






I will be attending the following lunches:



IPMA Member Registration Discounts

Please check all that apply and the amount will be automatically deducted from your registration fee. This program is for IPMA members and is not transferable. IPMA will verify your participation and contact you should there be a discrepancy.







Payment Information


(If unknown, please enter N/A to indicate payment by check)

Please make all checks payable to IPMA
133 W. Market Street, #261, Indianapolis, IN 46204

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Cancellation Policy

A refund less a $25 processing charge will be provided for cancellations received in writing by October 4, 2018. Send cancellation to inpma@indianapodiatric.org. In lieu of a refund, your paid registration fee can also be used to send a substitute attendee.