Event Forms – Michigan Assisted Living Association (MALA)

Event SelectionSelect one of the available events.

Event Selection *

Membership StatusSelect member status of Organization. This will update available purchase options for all Attendees.

Note

Select member status of Organization. This will update available purchase options for all Attendees.

Read more about our Member Benefits.

Membership Status of Organization *MemberNon-Member

Available Pricing Options

Organization InfoFill-in organization info

Organization Name *

Organization Contact *

Organization Contact Email *

Organization Contact Phone

Street Address

City

State

ZIP

Country *

Attendee InfoPlease fill out one line item per attendee from your organization. Additional day specific options will be presented based on your selections.

Attendee Name *

Attendee Email *

Attendee Title

Emergency Contact

Emergency Contact Phone

Event Packagesmember - Entire Conference & Access to Virtual Conference ($395.00)member - Virtual Conference Only ($285.00)Select one or more available Event packages to purchase

Other Diet Type Notes *

Registration Fees SummaryPlease review the registration fees listed below. They are based on the total number of attendees listed on this form.

Event Package

# of Attendees

Daily Cost

USD

Daily Total Cost

Notifications, Total Amount Due and PaymentChoose Attendee notification option, check calculated Total Amount Due and make Payment for selected Event packages

Notification Type *Send email notification just to OrganizationSend email notification to Organization and all listed Attendees

Available Payment Methods *Pay Now (Paypal)Pay LaterPay By CheckSelect to pay now using Paypal or to pay later. Pay later option will generate event attendance receipt and can be paid later before event takes place!

Total Amount Due

Total Amount Due Number

Save form submission as Draft and submit later