NAAMA 32nd International Medical Convention Marrakesh, June 29 - July 4, 2020Please submit your information as you want it to appear on your name tag Name First Last Degree* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Email Companion Name 1 First Companion Name 2 First Companion Name 3 First Companion Name 4 First Companion Name 5 First Dear Please note that all participants over the age of 6 years must register and pay the appropriate registration fee. Participants and spouses or guests who wish to earn CME credit must pay the full convention registration fee as main attendees for members or nonmembers accordingly ($350 or $550). The registration fee entitles individuals to benefit from the discounted group rate for social activities and hotel reservation, access to the scientific sessions, printed materials, coffee breaks and other planned activities. Total Registration fee must be paid upon form submission. Once you submit the registration form, you will be directed to pay with Visa, Master, Discover or American Express. The payment check out is via PayPal. Are you NAAMA member?*NAAMA MemeberNon-memberPlease Choose one answer of the drop down menu. Prices will change according to your answer.Main Attendee* Price: $350.00 Quantity: Number of Companions Price: $100.00 Quantity: Local Colleague (Morocco) Price: $25.00 Quantity: Main Attendee* Price: $550.00 Quantity: Number of Companions Price: $200.00 Quantity: Local Colleague (Morocco) Price: $25.00 Quantity: Total $0.00
