Registration

2020 Michigan Podiatric Medical Association Great Lakes Conference
The Henry, Dearborn MI
February 26 - March 1, 2020

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




Information


Registration

(An additional $50 will be added if received after Feb 19. Complimentary Life Member, Student and Resident registrations will increase to $50.)











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 A refund less a $25 processing charge will be provided for cancellations received in writing by February 19, 2020. Send cancellation to mpma@kdafirm.com. In lieu of a refund, your paid registration fee can also be used to send a substitute attendee.