Meeting of the Members 2025

Registration Form

First Name

Last Name

Phone Number

Name of Practice

Position at Practice

City

State

Each member of your practice that will be attending MUST register themselves. This will allow them to access all features of our event app (app will be live soon).

Are you bringing a PERSONAL guest (not attending the meeting)? The registration cost for each guest is $645 per person. This fee covers breakfast and special dinner events that they may attend as a guest.

Number of Guests

Hotel: Will you be staying on property?

Hotel: Will you be sharing a room with another attendee?

Enter the name of the attendee you will be staying with

Do you plan on attending the evening reception on Wednesday, March 5th?

Do you plan to attend the session on on Saturday, March 8th (9am-12pm)?

Dietary Restrictions

Amount

Amount Due

Terms & Conditions and Privacy Policy

I have read and agree to the