CPOMP 2027 Registration New

Step 1 of 5

20%

Contact Details

Name(Required)

First Last

Title(Required)

Email(Required)

Practice(Required)

Office Phone

Cell Phone(Required)

Address(Required)

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

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

Yes

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

Yes

Conference Info

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

First Name Last Name

Phone

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

Preferred method of vendor contact:(Required)

Mail

Guests

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

We like to welcome your guests. Please indicate who will be joining you.

Name(s) of your guest(s):

This will help us prepare name tags for your guests if they join us at the evening receptions.

Are there any other medical groups that would benefit from attending CPOMP 2027?

Our members are the best source of knowing which independent groups might benefit from attending a CPOMP meeting. Please provide their contact information.

How did you hear about CPOMP?(Required)

Mailer

Referral

Social Media

Web search

Attendance at another conference

Other

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

CPOMP 2027 Registration(Required)

Price:

Coupon

Total

Credit Card

Email Address for Receipt

If different from email entered in attendee details.

CPOMP 2027 ANNUAL MEETING

Annual Meeting Registration

Registration Fees

$725

$550

50% off

Contact Details

Practice Info

Conference Info

Guests

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