Registration Form and Payment

Registration Form and Payment

Deadline for registration is April 24, 2017

Meeting Fees

  • Meeting Registration              (May 4)   =    $35 (for one person)
  • Dinner at Merchant's Restaurant  (May 3)   =     $55 (for one person)

Please complete the entire Registration Form and submit your payment by PayPal or by mailing a check to ALHHS treasurer Barbara Niss.

Registration is now closed. If you have previously registered but haven't paid, we are still accepting payment below.

Please contact with any questions.

STEP 1 Complete the entire registration form

Click on 'Registration form' below to link to complete online registration

Registration Form

PDF Manual Registration Form

STEP 2 Calculate the total payment

 $90 = Dinner + Meeting
 $55 = Dinner only
 $35 = Meeting only

STEP 3  Payment

Send payment by PayPal or mail your check via snail-mail (US dollars) to:

ALHHS Treasurer  Barbara Niss
Icahn School of Medicine at Mount Sinai
Box 1102 - One Gustave L. Levy Pl.
New York, NY 10029-657

If you have trouble seeing the full list of options below, please click inside the box to view your choices for payment.


On Behalf of Others. Can I register someone other than myself for the Annual Meeting?
Please complete a separate registration form for each attendee. If you are registering on behalf of someone else, please make sure to register using the intended participants full information.

Who is considered a “guest” ?
Anyone who accompanies you to the Annual Meeting that is not going to attend any sessions or workshops. A “guest” may register to attend the tours and evening events. Please be sure that you register your guest in the registration form.

Will I be included in the Attendee directory that is given to all attendees at the annual meeting?
Yes, all attendees will be included in this directory as long as your registration is received 1 week before the annual meeting.

ALHHS/MeMA are committed to providing access to all individuals attending the Annual Meeting.  Please contact Christopher Ryland, Local Arrangement Chair,  if you have special needs that require our consideration.

Registration Questions/Changes
Email or call 615-936-1406 if you have any questions or need to edit your registration

Christopher Ryland,
Feb 27, 2017, 2:44 PM