Online METS Conference Registration Form

*Please choose preferred conference below.

Please Note - Conference registration is from 3-6pm on the first day.  The first teaching session begins at 6pm and the conference will conclude by noon on the 4th day.
Select Conference
Name
(For name tag)
Sex
Male      Female
Degree
Specialty
First Name
Last Name
Spouse Name
(If Attending)
Spouse Specialty
(If Medical)
Address
Home      Office
Street Address
Address Line 2
City
State
Zip Code
Country
E-mail
(For confirmation email)
Home Phone
Work Phone
Comments

Please Select Category *(Price includes meals and lodging)
Commuter Discount applies to those who will not need a room at the conference center.
Please select one of the below categories.  For couples at different levels, the higher rate will apply.

Category
For couples at different levels, the higher rate will apply.

Single

Couples

Commuter Discount
*For those who will not need accommodations

Professionals practicing more than two years

$850

$1,200

$100 discount per person

Professional practicing less than two years

$690

$1,000

$50 discount per person

Nurses / Allied Health / Chaplains / Hospital Volunteers / Physical Therapists / etc.

$495

$965

$50 discount per person

Residents

$200*

$400*

N/A

Students

Medical   Dental   Nursing  
Other  

$95*

$190*

N/A

Single Occupancy (if space available)

$200 in addition to registration fee

* Special Scholarship rate.  Limited availability.  Since this is a scholarship rate, you are not eligible for a commuter discount.

Additional Required Information - Please select all that apply

METS Alumnus
Prefer Vegetarian Meals
Roommate Request:
CME $100 additional
Provided by Loma Linda University Medical Center
CEU $46 additional
Provided by Hospital Christian Fellowship

Payment

You may pay for your conference with a credit card online (through PayPal) or by mailing your payment by personal check. Please choose your prefered method of payment from the two choices below.

Online Credit Card Payment     Mail A Check

               




Copyright © 2006 Medical Strategic Network