Registration

2019 Michigan Podiatric Medical Association Great Lakes Conference
The Henry, Dearborn MI
February 20-24, 2019

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

Pre registration ended on February 8, 2019. Online registration is no longer available. All registrations after February 8 will be processed onsite.



Information


Registration (an additional $50 will be added to all registrations recieved after February 13, 2019)








Evening and Special Events




Lunches

I will be attending the following lunches:


Special Meal Order

Dietary restrictions:




Payment Information


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

Please make all checks payable to Michigan Podiatric Medical Association (or MPMA)
629 W. Hillsdale St, Lansing, MI 48933

Or


 
 
 
 
 
 
 
 

Thank you for your registration and we look forward to seeing you!

Please complete all fields before submitting form. You will receive a confirmation when the registration is processed. If you do not receive a confirmation from MPMA within 5 business days, then your registration did not process correctly. Please contact the MPMA office at 800-968-6762.


Cancellation Policy: Requests for refunds must be made in writing to the MPMA. Cancellations prior to February 6, 2019 will be refunded minus a processing fee of $100. No refunds will be made if cancellation notice is received after February 6, 2019 regardless of registration date.