FALL CONFERENCE Online Registration

Fall Conference 2021 Registration - Pay Later

This form is for those who wish to register now and pay later. If you wish to pay online, visit 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
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 September 21, 2021. Cancellation Policy: Refunds, minus a $50 cancellation fee, will be made upon request in writing to the MAFP office, if received by October 1. After October 1, no refunds will be granted.
Please let us know the number of adults in your party who will attend. Fee is included in registration.
Price: $0.00
While at the conference, I will be staying at:(Required)

OTHER ITEMS

Online syllabus is available at no charge. Handouts will be available online and in the mobile app in July.
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

If you would rather pay for registration by check, please find our paper (PDF) registration form here: https://www.msafp.org/annual
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