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Michigan Dietetic Association
 Annual Conference 2010
April 29 & 30, 2010
On-line Registration

MDA is pleased to offer on-line registration for the annual conference this year.  It's a quick, easy, and secure two-step Process.

Step 1: Simply fill out the entire form below with your Registration Information, Meal Selections, Breakout Session Selections, and Special Interest Selections.  If you would like to view the Conference Fees before selecting your sessions, scroll to the bottom of the page for a listing of fees.  Once you have completed the form, be sure to check it for accuracy, as you will not have a chance to change your selections once you click the "Submit" button. 

Step 2: Once you click the "Submit" button below, you will be directed to a confirmation page where you will complete your registration by making a secure payment using any major credit card or your PayPal Account.   

Step 1

Registration and Badge Information

Name:
Email:
ADA Member Number:
Credentials:
Area of Practice:
Employer:
Daytime Phone:
Evening Phone:
Mailing Address:   City:   State:    Zip:
Please indicate which conference days you will be attending:   
How did you hear about his program? 
If the credit card or PayPal account you will be using to pay for registration is in someone else's name, such as
an office manager, please include their name here:
If you do not want your email address provided to exhibitors, please check here:

Meal Selections
 
The following meals are complimentary thanks to our sponsors.
 
To enable us to get an accurate food count, please only check the boxes for the meals you will be attending:
Thursday continental breakfast
Thursday lunch
Thursday dinner
Friday breakfast
Friday lunch
   
Please indicate your menu preference for the meals you will attend:
Your choice for Thursday lunch:
Your choice for Thursday dinner:
Your choice for Friday lunch:
   

Breakout Sessions
Sessions will be assigned based on date registration is received.  Please indicate your first choice for each group of breakout sessions.  To see details on breakout sessions, click to see the conference brochure
Thursday Breakout Sessions  

1:45 pm

3:00 pm

7:45 pm
Friday Breakout Sessions  

12:15 pm

1:15 pm

Of Special Interest:
First time attendee
ADA member since
Past MDA President
Annual conference committee
I am a presenter at MDA 2010 Conference
Member less than 5 years
50 year member

Conference Fees
 
  ADA Members Dietetic Intern,
Student or Retiree
(must be ADA Member for this rate)		 Non-ADA Member
Thursday Only Conference $140 $40 $250
Friday Only Conference $140 $40 $250
Total Conference: Thursday/Friday $205 $75 $370

A $50 late fee will be added to all conference prices after April 1

Cancellations/Refunds:  Cancellations received in writing by April 14 will be refunded
less a $55 processing fee.  No refunds after April 14.


If you are not an ADA Member you can join now:
 Starting March 1, 2010 the discounted rate of $216 will cover the remainder of this membership year plus next year through May 31, 2011.  For a list of all the benefits of joining ADA, including free CPE opportunities visit www.eatright.org and click on "Join ADA" at the upper right corner of the home page.  Click on member benefits, too.  The promotion code is ATEN.  Or, call ADA at 800-877-1600 ext. 5000.
 

 

Before clicking on the Submit button below, please make sure that all information above is correct.  Once you hit the Submit button, you will NOT be able to change your information.