SAVE THE DATE | HMA 35th Annual Conference
Wednesdays & Thursdays October 22, 23, 29 & 30. 3 to 6:30 pm Eastern Time. View Details »

Conference Registration for Groupshmasite2024-12-14T21:33:14+00:00

Conference Registration for Groups

Fields marked with an * are required

Group Contact Person

Group Contact Person

First Name *

Last Name *

Email *

Phone *

Organization / Affiliate *

Email list instructions

Please email your list of registrants to jruchnie@gmail.com. Be sure to include the following for each person.

Full Name
Email
Phone
License Type
License State
License Number

Group Size

How Many People Are You Registering?

Number of Members without CNE - $275 each

Number of Members with CNE - $295 each

Total

Total Due Today: $0.00

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