Language
English (US)
2023 MHHP Convention Registration and/or Membership Form
The 2023 Minnesota Hearing Healthcare Providers (MHHP) 27th Annual Convention is being held March 9-11, 2023 at the Arrowwood Resort in Alexandria Minnesota
Select the '2023 Convention Registration and Full Membership' and SAVE $50 over the cost of purchasing them seperately
Convention Only and Membership Only Options also Available
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Credentials
Example: HIS, BC-HIS, AuD, MS
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Name
Last 4 digits of SSN (Required for CE Credit)
*
Example: 4002
Multiple people can be registered and paid for in one transaction, please complete the information requested below for each additional person being registered in this transaction.
First and Last Name, Credentials, E-mail Address and Last 4 digits of the Social Security Number
Paying by Check Instructions: Skip to 'Payment Method' section, select "Pay by Check', sign and then print the form. **Do not complete the '2023 MHHP Convention' section on-line** On the printed form you will manually mark your selection under '2023 MHHP Convention', write in your coupon code if you responded to our survey, then follow the mailing instructions next to the 'Pay by Check' selection under 'Payment Method'
2023 MHHP Convention - Complete this section on-line ONLY if you are paying by credit card. **If paying by check, print the form prior to marking your selection, see the above instructions**.
prev
next
( X )
2023 Convention Registration and Full Membership - Save $50
Convention Registration to the 2023 MHHP Annual Convention with 10 CE Credits available and Full Membership to MHHP for 2023.
$
350.00
2023 Membership Only
This selection DOES NOT include the convention. It is full Membership to MHHP for 2023, includes all privledges assocoiated with membership, including the annual business meeting and full voting rights.
$
150.00
2023 Convention Only
This selection is REGISTRATION ONLY for the 2023 Convention and DOES NOT include membership. Only 9 CE credits are available with this option as the Business Meeting (1CE) is only open to current MHHP members.
$
250.00
Credit Card
Payment Method
Credit Card - Enter card information above
Pay by Check - Payable to MHHP and mail to: Sheri Lumley-Executive Director-MHHP/ 17805 57th Street/ Becker MN 55308
Signature - Use curser to sign
*
Print
Save
Submit
Should be Empty: