CPOMP 2024 Registration

Contact Details

Name(Required)

First Last

Title(Required)

Email(Required)

Practice(Required)

Office Phone

Cell Phone(Required)

Address

Street Address City State ZIP Code

Practice Info

The number of providers in our practice:(Required)

Of those providers, approx. ___% have ownership in some part of the real estate.(Required)

The size of our real estate portfolio after completion of new projects or sales is:(Required)

We have been involved in a sale-leaseback of our real estate.(Required)

Yes

No

We have outside JV partners in our real estate.(Required)

Yes

No

We plan to expand our real estate portfolio in the future.(Required)

Yes

No

Conference Info

Number of guests (significant other and/or children):(Required)

Name(s) of your guest(s):

Is there another contact (i.e. assistant) we should communicate with regarding your registration?

Preferred method of vendor contact:(Required)

Email

Mail

Are there any other medical groups that would benefit from attending CPOMP 2023?

New attendees bring additional insights and create even more impactful discussions for all attending groups. For every new group you bring, CPOMP provides you and the new attendee a $250 hotel credit as a thank you and a welcome. Please provide contact info.

Do you have any disabilities or special dietary needs in order to fully participate in this meeting?

How did you hear about CPOMP?

Email

Mailer

Referral

Social Media

Web search

Attendance at another conference

Other

If you selected referral, another conference, or other, please specify:

CPOMP 2024 Registration

Price:

Coupon

Total

Credit Card

CPOMP 2024 Annual Meeting Registration

Cost: