MSS Fall Conference

MSS Fall Conference

2020 Registration Form
Your Information
Name *

First Name Last Name
Degree *

MD MD, FACS DO
Practice Type *

Academic Private Practice Community Hospital Employed Mixed Model
Institution *
Institution/Practice Name *
City/State *

Street Address

Street Address Line 2

City State
E-mail *
Speaker?

Yes No
Registration Information
Register Me As *

Active Member Non-Member Resident Member Medical Student Research Trainee
I am a current dues paying member of the Minnesota Surgical Society?

Yes No
ACS Member Number
Last Name *
Please register me *

Research Day - Tuesday, November 17, 2020 Scientific Meeting - Wednesday, November 18, 2020 Both Days
Registration Fees
2020 Meeting Fees
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2020 MSS Members Free

Medical Students, Residents, & Research Trainees Free

Speakers Free

MSS Non-Member $ 175.00
Includes the Fall Conference + 2021 MSS Membership

Total $ 0.00
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Your Information