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MOMS Registration Form
Please fill out this form in order to register for the MOMS 2019 conference at the University of Minnesota. If you have any questions, please email hmed@umn.edu

The conference program is available at z.umn.edu/MOMSProgram
Email address *
A note about the meeting cost -
To make this meeting as accessible as possible, we are not requiring that attendees pay a registration fee. We would, however, request that you consider making a donation if you are able. The cost for each attendee is approximately $70 USD (2 breakfasts, 1 lunch, and funding for graduate travel assistance). $50 is a suggested contribution, but any amount that you are able to contribute to these costs would be greatly appreciated.

If you would like to make a donation, please bring cash or a check with you to the meeting.
Name *
Your answer
Title / Status *
Your answer
Institution *
Your answer
Do you plan to attend the Friday evening reception?
Do you plan to eat lunch at the conference site on Saturday?
Do you have any dietary restrictions we should be aware of? If so, please explain. *
Your answer
Have you attended MOMS before? *
Would you like to be informed about future MOMS meetings? *
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