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2026 Winter Meeting Registration
Basic Information
Attendees Total
Company Name
*
Cell Phone
*
We will use your cell phone number to send meeting updates the day of the event.
Attendee 1 Name
*
Type your name as you want it to appear on your name badge.
Attendee 1 Email Address
*
Confirmation and receipt will be sent to this address
Attendee 1 Registration Status
*
Member/Guest - $75 per person
Non-Member - $85 per person
Attendee 1 Cell Number
*
We will use your cell phone number to send meeting updates the day of the event.
Attendee 2 Name
*
Type your name as you want it to appear on your name badge.
Attendee 2 Email Address
Attendee 2 Registration Status
*
Member/Guest - $75 per person
Non-Member - $85 per person
Attendee 2 Cell Number
*
We will use your cell phone number to send meeting updates the day of the event.
Attendee 3 Name
*
Type your name as you want it to appear on your name badge.
Attendee 3 Email Address
Attendee 3 Registration Status
*
Member/Guest - $75 per person
Non-Member - $85 per person
Attendee 3 Cell Number
*
We will use your cell phone number to send meeting updates the day of the event.
Attendee 4 Name
*
Type your name as you want it to appear on your name badge.
Attendee 4 Email Address
Attendee 4 Registration Status
*
Member/Guest - $75 per person
Non-Member - $85 per person
Attendee 4 Cell Number
*
We will use your cell phone number to send meeting updates the day of the event.
Attendee 5 Name
*
Type your name as you want it to appear on your name badge.
Attendee 5 Email Address
Attendee 5 Registration Status
*
Member/Guest - $75 per person
Non-Member - $85 per person
Attendee 5 Cell Number
*
We will use your cell phone number to send meeting updates the day of the event.
Attendee 6 Name
*
Type your name as you want it to appear on your name badge.
Attendee 6 Email Address
Attendee 6 Registration Status
*
Member/Guest - $75 per person
Non-Member - $85 per person
Attendee 6 Cell Number
*
We will use your cell phone number to send meeting updates the day of the event.
Attendee 7 Name
*
Type your name as you want it to appear on your name badge.
Attendee 7 Email Address
Attendee 7 Registration Status
*
Member/Guest - $75 per person
Non-Member - $85 per person
Attendee 7 Cell Number
*
We will use your cell phone number to send meeting updates the day of the event.
Attendee 8 Name
*
Type your name as you want it to appear on your name badge.
Attendee 8 Email Address
Attendee 8 Registration Status
*
Member/Guest - $75 per person
Non-Member - $85 per person
Attendee 8 Cell Number
*
We will use your cell phone number to send meeting updates the day of the event.
Attendee 9 Name
*
Type your name as you want it to appear on your name badge.
Attendee 9 Email Address
Attendee 9 Registration Status
*
Member/Guest - $75 per person
Non-Member - $85 per person
Attendee 9 Cell Number
*
We will use your cell phone number to send meeting updates the day of the event.
Attendee 10 Name
*
Type your name as you want it to appear on your name badge.
Attendee 10 Email Address
Attendee 10 Registration Status
*
Member/Guest - $75 per person
Non-Member - $85 per person
Attendee 10 Cell Number
*
We will use your cell phone number to send meeting updates the day of the event.
Number of Attendees
*
Please select an option
1
2
3
4
5
6
7
8
9
10
Select Number to Add More Fields
Payment
Meeting Registration
$
Total
$
Payment
*
Additional Registration Notes for MHISC Staff
Submit Registration
