MPS Meeting Registration Registration* $0 Blue Cross Blue Shield Paid Registration (Until July 3rd): Must have approval from Raquel Hazzard $25 Blue Cross Blue Shield Paid Registration (After July 3rd): Must have approval from Raquel Hazzard $225 Member Preregistration (Until July 3rd) $250 Member Late Registration (After July 3rd) $250 Non Member Preregistration (Until July 3rd) $275 Non Member Late Registration (After July 3rd) N/C Student (with Letter from Program Director) Speaker (as per speaking agreement) Vendor (as per Vendor Agreement) Name as it will Appear on your Badge- Include Credentials * Address* City* State* Zip Code* Hospital or Company Affilation E-mail* Phone Number* Are you interested in playing golf Friday (8/12/2022) Tee times start at 7am* . No Yes Will you be attending the Friday Night Fireside Chat (8/12/2022)* . No Yes Will you be attending the Saturday Perfusion Event? (8/13/2022)* . No Yes Payment Type* Credit Card / Pay Pal Check Student / Speaker Address Checks to: Michigan Perfusion Society 32515 Rosenbusch Warren, MI 48088 All fields are required to be filled in prior to clicking on the submit button. The payment page will then open on your screen. Submit