Osteopathic Foundation of West Michigan
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WMOA 2023 Spring Interface RSVP
Contact Information
Name
*
First Name
Last Name
AOA#:
Email:
*
Verify Email
*
Plans to attend:
*
Please select the 'Maybe' option ONLY if you are requesting access to lecture recordings. Please note that Non-Member fees will be applied for those without an active 2023 membership.
Yes, I will be in attendance.
Maybe = I would like access to lecture recordings.
Professional Level:
select one
Physician - DO
Physician - MD
DO - Physician in Training - Family Medicine
DO - Physician in Training - Internal Medicine
DO - Physician in Training - Emergency Medicine
DO - Physician in Training - OB/Gyn
Physician in Training - Medical Student
Physician Assistant - Resident
Physician Assistant
Nurse Practitioner
Other
Non-Member?
Non-members are charged a $50 fee for monthly CME Events.
Payment will be provided at the registration table.
Request an invoice.
Special meal request:
Please check the box only if you would like a vegetarian option. All others will be served the planned menu for the evening.
I would like a vegetarian option.