Non-Member Group Registration – Michigan Association of Substance Addiction Providers

To register, please fill out the form below.

Upon completion, you will be redirected to pay with either Paypal or a credit card (choose “Checkout as Guest”).

If you wish to pay by check, please click here.

2024 Non-Member Conference Registration GROUP

Primary Attendee First Name *

First

Primary Attendee Last Name *

Last

Organization Name *

Address *

Address

City

State/Province

Zip/Postal

Email *

Number of Attendees? *

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Registrant

Registrant Email

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