ANNUAL MEETING 2024 REGISTRATION Proposed Meritus School of Osteopathic Medicine 11116 Medical Campus Road Hagerstown, MD 21742 MAOP Information: (610) 390-3853 Name *Medical School: *AOA #Year of Graduation *Name for badgeContact InformationFirst Name *Last Name *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodePhone *Email Address *Registration Type(Check one)Registration TypeREGISTER TODAY!!! RESERVE YOUR SPOT! Membership in MAOP is verified prior to the Annual MeetingNote: MAOP member dues must be paid by March 31, 2024.Registration TypePhysician Member - $895.00Non-member Physician Rate - $1095.00Daily Rate - $395.00Speaker Rate - $595.00Special Military/Retired Physician Rate - $695.00Resident Rate - $250.00Student Rate - $200.00OMT WORKSHOP PHYSICIAN - $195.00OMT WORKSHOP RESIDENT (Membership Included) - $75.00OMT WORKSHOP STUDENT (Membership Included) - $35.00Registration TotalsRegistration FeePrice$Cancellation Policy: Requests for cancellation refunds must be postmarked by September 1, 2024. After that, MAOP will issue credit.Credit / Debit Card *RegisterPlease do not fill in this field.