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.



Company Information



Products and Services

Please indicate up to two categories that best describe your products and/or services.










Sponsorships











Conference Booklet Advertisement







Booth Selection


To select your booth space, click on the desired location(s) on the diagram below, for each booth you wish to purchase. The booth number(s) will automatically appear on the form. Booths shaded in red are reserved. To see who is registered in those booths, rest your cursor over the booth numbers

Booth Costs

6 x 8 Booth - $1000

Selected Booths:

1 2 3 4 8 9 10 11 15 12 16 17 18 19 20 21 22 23 24 33 32 31 30 29 28 27 26 25 34 35 36 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62

Booth Electricity


Booth Attendee Passes







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 8, 2019 will be refunded minus a processing fee of $100. No refunds will be made if cancellation notice is received after February 8, 2019 regardless of registration date.
No refunds after February 8, 2019.