Online Registration Form:

NAME:

ADDRESS:

CITY / STATE / ZIP:

TELEPHONE:

FAX:

EMAIL: (In Case We Have Questions)

PLEASE ANSWER THE FOLLOWING QUESTIONS: (YES / NO)

• D.O.:
• M.D.:

• RESIDENT:

• MSMA member:

• OTHER, PLEASE EXPLAIN:
  

PLEASE ANSWER "YES" FOR THE SESSIONS YOU WILL ATTEND:

• Friday Session:

• Friday Night President Reception:
• Saturday Morning Session:
• Free Luncheon Meeting:

CONCURRENT SATURDAY AFTERNOON SESSIONS:
Please choose just ONE for Saturday
by answering "YES":

• General Session:
• Business Session:
• Sunday Morning Session:

Hotel Reservations: Call the Airport Renaissance Hotel at 888.340.2594 to make reservations; don’t forget to ask for the Missouri State Medical Association special hotel room rate. Or make room reservations online by going to www.msma.org and scroll to the 2010 Annual Convention icon near the bottom of the page.
Deadline for hotel reservations is March 1.

NOTE: CME is free to all Missouri State Medical Association members. The cost for non-MSMA members per CME hour is $50.00. Annual dues for MSMA are only $380. Resident dues are just $30 annually. Join online at www.msma.org.

This will also automatically register you with the Missouri State Medical Association’s Annual Convention for Friday, March 16.. You can pick up your name tag for the MSA meeting at the MSMA registration desk on Saturday and Sunday on the first floor level. MSA will have a continental breakfast Sunday morning in the MSA Exhibit Hall.

IF YOU HAVE ANY QUESTION OR COMMENTS, PLEASE FEEL FREE TO ASK:

Download, Print and Mail or Fax a Registration Form

Download and Print a Schedule

Marriott Hotel Reservations Online