Fall Pay Later

Fall Conference 2022 Registration - Pay Later With Check or Card

This form is for those who wish to register now and pay later with check or card. If you want to pay now using Paypal, go to msafp.org/fall

Registrant Name(Required)
Please Choose One:(Required)
Please click the box below if you are an AAFP Fellow with the designation 'FAAFP':
Please click the box below if you are a first-time attendee:
Address:(Required)
MAFP use only
While at the conference, I will be staying overnight at:(Required)
Email will be added to the e-mail blast list to receive communications about the Fall Conference.

REGISTRATION FEES:

Registration fees will rise $50 each on October 14, 2022. Cancellation Policy: Refunds, minus a $50 cancellation fee, will be made upon request in writing to the MAFP office, if received by October 14. After October 14, no refunds will be granted.
If your spouse or guest will attend any MAFP events during the conference, you must register them by paying the Spouse Registration Fee.
6:30 pm Friday at The Inn at Ole Miss. Please let us know the number of adults in your party who will attend. This event is included in member and spouse registration fee.
Price: $0.00
Saturday at 9 am. Transportation will be provided from The Inn at Ole Miss. Rowan Oak is home to Oxford’s Nobel-Prize-winning author William Faulkner. It was built in 1848 and occupied by Faulkner from 1930 until his death in 1962. Each person will pay their own $5 entry fee.
Price: $0.00
Saturday from 3-4 pm. Will pick up and drop off at The Inn at Ole Miss. A 1-hour trolley tour with a local historian provides a trip through history, visiting points of interest on the University of Mississippi campus and around the city. PLEASE RESERVE YOUR SPACE ON THE TROLLEY BY INDICATING A NUMBER HERE.
Price: $15.00

OTHER ITEMS

Items you order here will be waiting for you at the registration desk.
Online syllabus is available at no charge. Handouts will be available online.
Price: $100.00
'MAFP' in big letters with 'Mississippi Academy of Family Physicians' written underneath. Text is navy on the white and grey items and white on the navy blue items.
Price: $30.00
100% cotton crew-neck sweatshirt available in white, grey and navy blue. Sizes range from Adult Small to 3XL. Please specify your size and color preference here.
'MAFP' in big letters with 'Mississippi Academy of Family Physicians' written underneath. Text is navy on the white and grey items and white on the navy blue items.
Price: $18.00
100% cotton Gildan crew-neck t-shirt available in white, grey and navy blue. Sizes range from Adult Small to 3XL. Please specify your size and color preference here.

MAFP FOUNDATION FUND RAISER ITEMS

Purchase your items here , and they will be waiting for you at the Registration Desk!
(Special price for Fall Conference attendees)
Price: $50.00
Price: $50.00

PAYMENT

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