OAOS Virtual Conference Registration

Is this registration for multiple attendees?*

No
Yes

How many attendees will you be registering? (Between 2 & 10)*

Please enter a number from 2 to 10.

Practice Name*

Name*

First Last

Certification*

Email*

OAOS will use this email address to communicate conference details with you before and after the conference, as well as provide registration confirmation and a receipt.

Work Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Regisration Type*

OAOS Member Rate - $250
Non-Member Rate - $300
OAOS Retired Member - $75
PA-C/NP Rate - $100
Resident - No Fee

Additional Attendee 1

Name*

First Last

Email*

Certification*

Work Phone*

Additional Attendee 2

Name*

First Last

Email*

Certification*

Work Phone*

Additional Attendee 3

Name*

First Last

Email*

Certification

Work Phone*

Additional Attendee 4

Name*

First Last

Email*

Certification*

Work Phone*

Additional Attendee 5

Name*

First Last

Email*

Certification*

Work Phone*

Additional Attendee 6

Name*

First Last

Email*

Certification*

Work Phone*

Additional Attendee 7

Name*

First Last

Email*

Certification*

Work Phone*

Additional Attendee 8

Name*

First Last

Email*

Certification*

Work Phone*

Additional Attendee 9

Name*

First Last

Email*

Certification*

Work Phone*

Registration Types

OAOS Member Rate

Price: $250.00

Non-Member Rate

Price: $300.00

OAOS Retired Member

Price: $75.00

PA-C/NP Rate

Price: $100.00

Resident - No Fee

Price: $0.00

Amount of Registration Type

Total Due

$0.00

You have more Registration Types than Attendees. Please double check above.

You have less Registration Types than Attendees. Please double check above.

Credit Card

American Express

Discover

MasterCard

Visa

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