First Name
Middle Initial
Last Name
ACHE Credentials
Preferred First Name for Badge
Title
Hospital/Company
Mailing Address
CityStateZIP
Phone
Personal Membership Group
Email

By registering for the convention, the attendee authorizes MHA, its subsidiaries or personal membership groups to use any photographs or videos taken during the course of the convention, which may include use of the attendee's likeness, in promotional materials.

REGISTRATION CATEGORIES/FEES - Please select the appropriate category.

$175MHA-member hospital employees, trustees and auxilians
$195MHA associate and individual members
$250Individuals from nonmember hospitals, personal membership group members not employed by MHA-member hospitals or organizations (group name will appear on name badge in lieu of company name). Membership in group will be verified.
$75State agency employees
$25Spouse (guest) and students
$525Individuals from non-exhibiting commercial firms
No FeeAttendees from exhibiting or sponsoring firms

MHA SPECIAL INTEREST MEETINGS/MEALS - Please check the box for the event(s) you will attend.

Wednesday, Nov. 6
4NC3:45 p.m.MHA Rural Hospital Council and MHA Psychiatric Network Executive Roundtable - Rural Hospital Council and MHA Psychiatric Network members only
Thursday, Nov. 7
10NC8:45 a.m.FRA Participants' Meeting
11NC11:30 a.m.HFMA (financial managers) Meeting and Membership Luncheon - HFMA members only

MHA MEAL FUNCTIONS AND SPECIAL EVENTS - Please check the box for the event(s) you will attend.

Wednesday, Nov. 6
5NC5:30 p.m.It's Five O'Clock Somewhere! Party - everyone welcome - sponsored by APS
Thursday, Nov. 7
8NC8 a.m.Executive Networking Breakfast - by invitation to executive leadership only
6:15 p.m.MHA Celebration of Achievment Awards Dinner - cash bar available - everyone welcome. Choose entrée.
18$50Beef Entrée - Awards Dinner
19$50Chicken Entrée - Awards Dinner
20$50Mahi-Mahi Entrée - Awards Dinner
Friday, Nov. 8
21$287 a.m.ACHE Breakfast

MHA PERSONAL MEMBERSHIP GROUP MEAL FUNCTIONS

Wednesday, Nov. 6
1$2811:45 a.m.MSHCA (attorneys) Business Meeting/Luncheon - MSHCA members only
2NC11:45 a.m.MAHVRP (volunteer resource professionals) Luncheon - MAHVRP members only, sponsored by Volgistics
3$25NoonMAHA (auxilians) Luncheon
Thursday, Nov. 7
9$228:15 a.m.MAHA (auxilians) Installation Breakfast
12NC11:30 a.m.MAHPMM (purchasing) Meeting/Box Lunch - MAHPMM members only
13$1811:30 a.m.MONL (nurse leaders) Membership Meeting/Luncheon - MONL members only
14NC11:45 a.m.MoAHQ (quality) Member Luncheon - MoAHQ members only
15NC11:45 a.m.MSHHRA (human resources) Business Meeting/Box Lunch - MSHHRA members only
16$2711:45 a.m.MAHA (auxilians) Vendor Appreciation Luncheon
17$17NoonMCA (chaplains) Roundtable/Luncheon

Total Registration Fees: $0.00

Total Meals: $0.00

Total Due: $0.00 

Payment Information

Card TypeAmount Authorized $
Card NumberExpires
CVC/CVV2
Cardholder Name
Billing Address
City/State/ZIP

Please contact Janine Haynes at 573/893-3700, ext. 1340, with questions.


ABOUT SSL CERTIFICATES

Missouri Hospital Association • P.O. Box 60 • Jefferson City, MO 65102
Phone: 573/893-3700 • Fax: 573/893-2809 • MHAnet