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2025 Annual Meeting Registration – Board of Directors
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Name
*
First
Last
Guest name(s), if applicable
Email
*
Cell number
Expected attendance at meals
Friday Board of Directors lunch
Friday evening Welcome Reception
Saturday morning breakfast buffet
Saturday COMPAC lunch
Saturday evening Presidential Gala
Dietary preferences or allergies for anyone in your party:
Mobility accommodations needed for anyone in your party to fully participate in this event? (e.g., wheelchair accessibility, seating needs, elevator access):
Lodging preference (CMS will book your room at Keystone Lodge under the master account)
Keystone Lodge King
Keystone Lodge Queen (two queen beds)
I do not need lodging/will stay at private residence off-site
Other – please contact me
Lodging nights needed:
Thursday, Sept. 11
Friday, Sept. 12
Saturday, Sept. 13
Other – please contact me
Lodging preference – Special requests (availability at the venue's discretion)
Early check-in
Late check-out
Low floor
Pet-friendly
Childcare sessions I will utilize:
Saturday morning 8 a.m.-12 p.m.
Saturday evening 4 p.m-8 p.m.
If utilizing free childcare: Child(ren) ages:
Comments or questions
Registration type (select all for your party)
*
Board of Directors member –
$200.00
Medical Student or Resident –
$25.00
Guest (adult) –
$75.00
Guest (child/ren) –
$0.00
Total
$0.00
Stripe Credit Card
*
Submit
