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Exhibitor Registration
MAHP 16th Annual Conference

Friday, October 13, 2017
Seaport Hotel, One Seaport Lane, Boston
Plaza Ballroom – 3rd Floor
7:30 a.m. - 3:00 p.m.

Health Care Policy - Where do we go from here?



Personal Information
*Required Fields
First Name*
Last Name*
Suffix
Position*
Company/
Organization*
Address*
City*
State*
Zip Code*
Telephone*
Fax
E-mail Address*
 

BOOTH INCLUDES:

  • 2 attendee registrations, 6' table, 2 chairs, tablecloth and a 1/4 page B&W ad in our Conference Program Book.
Gold Affiliate Rate - $950
Silver Affiliate Rate - $1400
Non-Member Rate - $1650

Yes - I would like information on Conference Sponsorships and Affiliate Membership. Receive up to 40% off the Non-Member registration fee and exhibitor space when you become an Affiliate Member.

If you have questions about your membership level, please contact Jessica Lussier at 617-338-2244 x111.

A $120 fee is required for each additional staff member at the exhibit table. Please contact Jessica Lussier at 617-338-2244 x111 for additional staff registration.

PLEASE NOTE: No refunds will be issued after September 1, 2017.


Payment in full is required prior to exhibiting at the conference.* (The payment field must be filled out in order for your registration to be processed.)

1. Pay by Check:
Submit this form and mail payment made out to:

Massachusetts Association of Health Plans
40 Court Street - Suite 550
Boston, MA 02108



2. Pay by Credit Card (Amex, MC, Visa accepted):

When you click submit, you will be redirected to a secure online payment form.



Please include the names and titles of the two individuals who will attend the conference on behalf of your organization.


Please include a description of your organization of no more than 100 words.



Comments:

Please know that if you register for MAHP's conferences, you may be added to our mailing list for future events.



If you have any questions, please contact Jessica Lussier at lussier@mahp.com, (617) 338-2244 x111