GROUP REGISTRATION RATES

Groups of 5-9 - $215 per registration

Groups of 10+ - $205 per registration

GROUP REGISTRATION & SPECIAL PAYMENT ARRANGEMENTS FORM

To activate a group rate or to make arrangements to pay by purchase order or company check, please provide the following information to receive your required unique registration code.

Payment must be received prior to the start of the conference on October 8th to participate in the live event.

Organization Name

Group Coordinator/Contact

First Name

Last Name

Email

Phone

(###)

###

####

Estimated number of group registrants

Payment will be made by

Purchase Order (please submit a copy to zarrowsymposium@mhaok.org)

Electronic Funds Transfer

Credit Card

Company Check

Please provide invoicing instructions, inclusive of invoice/billing address, group reference/identifier if required by your organization (e.g. Adolescent Care Team)

GROUP REGISTRATION & SPECIAL PAYMENT ARRANGEMENTS

GROUP REGISTRATION RATES

GROUP REGISTRATION & SPECIAL PAYMENT ARRANGEMENTS FORM

FAQ

Contact Conference Organizers

mhaok.org