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MDRS 2023 ANNUAL CONFERENCE
September 20-23, 2023
LOS ANGELES, CA




Required fields are indicated with an asterisk (*).
Registration
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Banquet on Friday, September 22: $120
  • Plated dinner including appetizer, salad, entrée, dessert, and wine
Sub-Total:
Tax-Deductible:

Grand Total:
Tax-Deductible:
 

Personal
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* First name:
  Middle name:
* Last name:
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   I am making this gift as a proxy for my organization/company, which should be recognized as the legal donor

Contact Information
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Non-U.S. Addresses  
  Non-U.S. City/County
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* Home telephone:
Business telephone:

* E-mail address:
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Please provide dietary information
 Banquet Meal Selection (if attending):
 Boxed Lunch on Saturday, September 22 (Included free with registration; but, please only order if you plan to stay through Saturday at 12:30 pm):
 Would you like to attend an excursion to the nearby Getty Center Museum on Saturday from 1-3 pm, free of charge?:
 Dietary restrictions:

 
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