OSPA Fall Conference Member Registration
September 19th - 21st, 2025 | Riverhouse on the Deschutes | Bend, Oregon
Name
*
First Name
Last Name
Credentials
*
Primary Practice Area:
*
Employer
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
May we share your name, company, and email address with our exhibitors?
Yes
Yes - but name and company only
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have any dietary restrictions?
No dietary restrictions
Vegetarian
Vegan
Gluten Free
Dairy Free
AAPA Number
NCCPA Number
My Products
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Member Registration
Must be a current member of OSPA - includes Friday Breakfast & Lunch, Saturday Breakfast & Lunch, and Sunday Breakfast
$
550.00
Quantity
1
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10
Non Member Registration
Includes Friday Breakfast & Lunch, Saturday Breakfast & Lunch, and Sunday Breakfast
$
700.00
Quantity
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One-Day Friday
Members Only - includes breakfast and lunch
$
350.00
Quantity
1
2
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Student One-Day Friday
Must be a member of OSPA - includes Friday breakfast and lunch
$
35.00
Quantity
1
2
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One-Day Saturday
Members Only - Includes Breakfast and Lunch
$
350.00
Student One-Day Saturday
Must be a member of OSPA - includes breakfast and lunch
$
35.00
Retired/Emeritus
Must be a member of OSPA
$
300.00
Student One-Day Sunday
Must be a member of OSPA - includes breakfast
$
35.00
Quantity
1
2
3
4
5
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9
10
Injections Workshop
8:30am - 10:30am Saturday hosted by J&J MedTech
$
50.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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