2024 MAMSS Fall Virtual Online RegistrationMAMSS 2024 Fall Virtual Educational Event - December 4 - 5, 2024 Register for the 2024 MAMSS Virtual Conference by selecting one of the options below:* 2024 MAMSS Virtual Fall Conference - December 4th & 5th (Full Event: $70) 2024 MAMSS Virtual Fall Conference - December 4th (Day 1 Only: $35) 2024 MAMSS Virtual Fall Conference - December 5th (Day 2 Only: $50)Please note that a 4% processing fee is added to all online payments.Are you a current Member or joining as a New Member?* Current Member New MemberAdd new membership through June 2025 for just $50. Email info@mnamss.org if you have questions about your membership.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, CPCSPosition/Title*Employer/Organization*Type of Organization*Acute Med. / Surg. HospitalTeaching HospitalAmbulatory Surgery CenterSkilled Nursing FacilityManaged Care / Health PlanPPOMSOPsychiatric FacilityArmed ForcesCredentialing Verification OrganizationInsurance CompanyMedical GroupOtherWork 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.Extension, if applicableHome 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* Enter Email Confirm Email Link to Event will be sent within one week. Email will be used for all communication regarding event.Attendee Secondary Email* Enter Email Confirm Email This email address will only be used to contact you if primary email returns undeliverable.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. This address will not be listed in the member directory. 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While NAMSS membership is not a condition of MAMSS membership, it has its own benefits. Yes NoComments (optional)Digital Signature*By signing below, I hereby acknowledge that I have reviewed and agree to abide by the MAMSS Bylaws and Policy and Procedures.Please indicate name on Credit Card that will be used for Registration:*Total $0.00 Δ