Get Early Registration Form

Filling out the Early Registration Form for the Regional Osteopathic Convention is a straightforward process that ensures your participation in this important event. This guide provides a step-by-step approach to assist you in accurately completing the form online.

Follow the steps to successfully complete the Early Registration Form.

1. Click ‘Get Form’ button to access the Early Registration Form. This will open the document in your preferred online editing environment.
2. Begin by entering your full name in the designated field (please print legibly). Ensure that you include any degrees you currently hold.
3. Input your AOA number in the appropriate field. This number is crucial for your registration.
4. Provide your home and office street addresses, including the city, state, and zip code.
5. Enter your phone numbers, specifying if each is your home, office, or cell number.
6. Fill in your email address carefully as it is important for receiving updates about the convention.
7. Indicate your membership status by selecting one of the options: Active Member (NYSOMS or local State Society), Non-NYSOMS Member, Life Member, or Intern/Resident/Fellows Member.
8. Select the registration payment amount by circling the appropriate option based on the registration date and membership status.
9. If applicable, check the single day registration options you wish to attend, specifying which days you plan to participate.
10. Note any dietary restrictions you may have in the provided space.
11. Fill out any workshops or special program options you are interested in attending during the convention.
12. Complete the optional membership details and guest's name if you plan to attend the NYSOMS President’s Award Reception.
13. Provide your payment information, including credit card number and expiration date, if applicable.
14. Once all fields are completed, save your changes and choose to download, print, or share the finalized form as needed.

Complete your Early Registration Form online today to secure your participation!