Get 2008 South Carolina Medicaid Managed Care Conference Registration Form First Name: Last Name

Completing the 2008 South Carolina Medicaid Managed Care Conference Registration Form online is an essential step for attending this important event. This guide will walk you through each field of the form, ensuring you provide the necessary information accurately and efficiently.

Follow the steps to complete your registration form successfully.

1. Click ‘Get Form’ button to access the registration form and open it in the appropriate editor.
2. Enter your first name in the designated field labeled 'First Name' and your last name in the field labeled 'Last Name'. Ensure the spelling is correct.
3. Specify your degree (such as MD, PhD, RN) in the 'Degree' section and indicate your Job Title in the provided field.
4. Fill in your affiliation, which could be your organization or institution, in the corresponding section.
5. Complete your address by including street address, city, state or province, and postal or zip code.
6. Provide your primary phone number and an alternate phone number if available, followed by your fax number and email address.
7. Answer the question about including your contact information in the Conference Participant List by selecting 'Yes' or 'No'.
8. Select your primary profession from the provided options. Only one option should be selected.
9. Choose your primary work setting from the multiple-choice provided; again, only one response is permitted.
10. Indicate your preferred morning workshop by selecting one of the listed options.
11. Select your preferred afternoon workshop from the available topics.
12. Be aware of the $25 non-refundable registration fee. Select your method of payment, either check, purchase order, or credit card.
13. If paying by credit card, fill in your card type, card number, expiration date, and card verification code. Don't forget to include your name as it appears on the card and the billing address if different.
14. If applicable, check the boxes for any special accommodations or dietary needs.
15. Review all the information you have entered to ensure accuracy and completeness before submission.
16. Return your completed registration form and payment by the specified deadline, October 3, 2008, either by mail or fax for credit card payments.

Take the next step in your conference experience by filling out your registration form online today!