2024 MHHP Convention Registration and/or Membership Form
The 2024 Minnesota Hearing Healthcare Providers (MHHP) 28th Annual Convention is being held March 14-16, 2024 at the Arrowwood Resort in Alexandria Minnesota
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Credentials
Example: HIS, BC-HIS, AuD, MS
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Name
Last 4 digits of SSN (Required for CE Credit)
*
Example: 4002
Multiple people can be registered and paid for in one transaction, please complete the information requested below for each additional person being registered in this transaction.
First and Last Name, Credentials, E-mail Address and Last 4 digits of the Social Security Number
Paying by Check?
Skip ahead to the
'Payment Method'
section
Select
"Pay by Check'
sign the form
Print the form and manually complete the rest
Mark your selection under
'2024 MHHP Convention'
Follow the mailing instructions next to the
'Pay by Check'
selection
2024 MHHP Convention - Credit Card users Only
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2024 Convention Registration and Full Membership
Convention Registration to the 2024 MHHP Annual Convention - 10 CE's and Full Membership to MHHP for 2024.
$
350.00
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2024 Membership Only
This selection DOES NOT include the convention. It is full Membership to MHHP for 2024, includes all privileges associated with membership, including the annual business meeting and full voting rights.
$
150.00
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2024 Convention Only
This selection is for 2024 CONVENTION REGISTRATION ONLY and DOES NOT include membership. 9 CE's are available with this option as the Business Meeting (1 CE) is only open to current MHHP members.
$
275.00
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2024 Convention - Student Rate
Convention Registration to the 2024 MHHP Annual Convention and Student Membership to MHHP for 2024. 10 CE's are available with this option.
$
275.00
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Credit Card
Payment Method
Credit Card - Enter card information above
Pay by Check - Payable to MHHP and mail to: Sheri Lumley-Executive Director-MHHP/ 17805 57th Street/ Becker MN 55308
Signature - Click and hold mouse to sign or use stylus for touchscreen
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