2023 Mari Sandoz Symposium Registration

PLEASE READ THIS IMPORTANT INFORMATION BEFORE YOU REGISTER!

Registration $40 per person, includes refreshments, materials, and the luncheon.
Please register one person at a time (use the refresh button to reset the form).
This year's event will not be livestreamed but will be recorded and the videos will be posted on our website and on our YouTube channel sometime after the event.
If you registered and are unable to attend, please email info@marisandoz.org with your request to cancel your registration. Refunds will only be offered until September 15, 2023.
If you have any questions, please email info@marisandoz.org

First Name (Required)

First Name

Last Name (Required)

Last Name

E-mail (Required)

Email Address

Organization or Educational Institution

City (Required)

City

State (Required)

State

Country (Required)

Country

Sandoz Society Membership Level

Symposium Registration

Luncheon Selection

Please select one

pm3kk3zc9wkx

ADDITIONAL FRIDAY AFTERNOON ACTIVITIES (please select only one!)

PLEASE INDICATE SPECIAL ACCOMMODATIONS OR DIETARY REQUESTS HERE

Cardholder Name (Required)

Credit Card # (Required)

Expiration Date (Required)

Security Code (Required)

cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

Billing Zip Code (Required)

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged