MAMSS 2023 Annual Conference Online Registration2023 MAMSS Conference Registration "*" indicates required fieldsRegister by selecting one of the options below:* Full Conference ($220) Thursday Only ($155) Friday Only ($80)Note: A 4% processing fee is applied to all online payments. Be sure to register by April 10, 2023, to receive these great rates!Are you a current MAMSS Member or joining as a New Member?* Current Member New MemberAdd new membership through June 2024 for just $50.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, CPCSTitle*Employer/Organization*Type of Organization*Acute Medical / Surgical HospitalHealth SystemBehavioral Health Facility or GroupMilitary or Veterans FacilityManaged Care / Health PlanCredentialing Verification OrganizationAmbulatory Surgery CenterSkilled Nursing FacilityMedical Group / ClinicOtherPreferred 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Work Phone*Attendee Email*Conference Information will be sent to email listed below. Enter Email Confirm Email 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 notDo you plan to attend the MAMSS Movie Night later on Thursday evening?*No extra charge. RSVP is not required but will assist in estimating attendance. Yes, most likely No, probably notComments (optional)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 Δ