OMT Skills Lab Registration Name with Credentials *Medical School: *AOA #Year of Graduation *Name for badgeMedical SpecialtyContact InformationFirst Name *Last Name *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodePhone *Email Address *Registration Type(Check one)Registration TypeREGISTER TODAY!!! RESERVE YOUR SPOT! Registration TypePhysician - $400.00Resident Member - $100.00Registration TotalsRegistration FeePrice$Cancellation Policy: Requests for cancellation refunds must be postmarked by September 1, 2025. After that, MAOP will issue credit.Credit / Debit Card *RegisterPlease do not fill in this field.
