2024 MAMSS Annual Conference Online Registration

Full Conference ($220)

Thursday Only ($155)

Friday Only ($80)

Note: A 4% processing fee is applied to all online payments. A $25 late fee will be applied to registrations received after April 15, 2024.

Are you a current MAMSS Member, joining as a New Member, or renewing your Current Membership?*

Current Member

New Member

Renewing Membership

Add new membership or renew your current membership for $50. **If you're unsure of your membership status, please email Laurie, Membership Coordinator: Laurien.Pechovnik@allina.com.

Name of person who referred you to MAMSS (if applicable)

Attendee Name*

First Last

NAMSS Credentials (optional)

Please indicate the NAMSS Credentials you currently hold, if applicable.

CPCS

CPMSM

CPMSM, CPCS

Position/Title*

Employer/Organization*

Type of Organization*

Preferred Address*

Please enter your preferred mailing address. If you work remotely, we recommend entering your home address to ensure you receive communication from the appropriate regional representative.

Street Address Address Line 2 City State ZIP Code

Work Phone*

MAMSS will only call you if we are unable to reach you by email. Your phone number will not be listed in the member directory.

Home or Cell Phone*

MAMSS will only call you if we are unable to reach you by email. Your phone number will not be listed in the member directory.

Attendee Primary Email*

Conference information will be sent to email listed below.

Enter Email Confirm Email

Attendee Secondary Email*

Enter Email Confirm Email

This email address will only be used to contact you if primary email returns undeliverable.

Do you plan to attend the Social Hour on Thursday evening?*

No extra charge. RSVP is not required but will assist in estimating attendance.

Yes, most likely

No, probably not

Are you a member of NAMSS?*

The Minnesota Association of Medical Staff Services (MAMSS) recruits and processes its own membership and dues independently from the National Association of Medical Staff Services (NAMSS). While NAMSS membership is not a condition of MAMSS membership, it has its own benefits.

Yes

Comments (optional)

Digital Signature*

By signing below, I herby acknowledge that I have reviewed and agree to abide by the MAMSS Bylaws and Policy and Procedures.

Name on Credit Card*

Please enter the name on Credit Card that will be used for Registration. You will make your payment on the next screen. Registration confirmations will be emailed within 5-7 days.

First Last

Total

2024 MAMSS Annual Conference Registration