2025 MHHP Convention Registration and/or Membership Form

2025 MHHP Convention Registration and/or Membership Form

The 2025 Minnesota Hearing Healthcare Providers (MHHP) 29th Annual Convention is being held March 20-22, 2025 at the Courtyard by Mariott St. Cloud Minnesota
Name*

First NameLast 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

CityState / 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?
- Skip ahead to the 'Payment Method' section
- Select "Pay by Check' sign the form
- Print the form and manually complete the rest
- Mark your selection under '2025 MHHP Convention'
- Follow the mailing instructions next to the 'Pay by Check' selection

2025 MHHP Convention - Credit Card users Only

2025 Convention Registration and Full Membership Product Image

2025 Convention Registration and Full MembershipConvention Registration to the 2025 MHHP Annual Convention - 10 CE's Available and Full Membership to MHHP for 2025. For registrations after March 6, 2025 there will be an additional $20 fee.

$375.00 Quantity

2025 Membership OnlyThis selection DOES NOT include the convention. It is full Membership to MHHP for 2025, includes all privileges associated with membership, including the annual business meeting and full voting rights.

$150.00 Quantity

2025 Convention Only This selection is REGISTRATION ONLY for the 2025 Convention and DOES NOT include membership. Only 9 CE's are available with this option as the Business Meeting (1 CE) is only open to current MHHP members. For registrations after March 6, 2025 there will be an additional $20 fee.

$300.00 Quantity

2025 Student or Retired Registration and Membership Product Image

2025 Student or Retired Registration and MembershipConvention Registration and Membership for those working toward obtaining their licensure to fit hearing aids, or who have retired from the profession. This option may be selected for a person not currently licensed to fit hearing aids at the time of form submission and does not require CE credits. For registrations after March 6, 2025 there will be an additional $20 fee.

$300.00 Quantity

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Total

$0.00

Credit Card

Payment Method

Credit Card - Enter card information abovePay by Check - Payable to MHHP and mail to: Sheri Lumley-Executive Director-MHHP/ 17805 57th Street/ Becker MN 55308
Signature - Click and hold mouse to sign or use stylus for touchscreen*
Should be Empty: