Virtual Tech Meeting Registration How many attendees will you be registering? (Between 1 & 10)(Required)Please enter a number from 1 to 10.Clinic(Required) Name(Required) First Last Proof of Vaccination - required for all attendeesAccepted file types: jpg, png, pdf, Max. file size: 1 MB.Save time and upload your proof of vaccination now.Certification(Required) COA COT COMT RN Other Email: Attendee(Required)OAO will use this email to communicate conference details with you before and after the conference. Email: Office Manager Address(Required) Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Work Phone(Required)Additional Attendee 1Name(Required) First Last Proof of Vaccination - required for all attendeesAccepted file types: jpg, png, pdf, Max. file size: 1 MB.Save time and upload your proof of vaccination now.Certification(Required) COA COT COMT RN Other Email(Required) Additional Attendee 2Name(Required) First Last Proof of Vaccination - required for all attendeesAccepted file types: jpg, png, pdf, Max. file size: 1 MB.Save time and upload your proof of vaccination now.Certification(Required) COA COT COMT RN Other Email(Required) Additional Attendee 3Name(Required) First Last Proof of Vaccination - required for all attendeesAccepted file types: jpg, png, pdf, Max. file size: 1 MB.Save time and upload your proof of vaccination now.Certification(Required) COA COT COMT RN Other Email(Required) Additional Attendee 4Name(Required) First Last Proof of Vaccination - required for all attendeesAccepted file types: jpg, png, pdf, Max. file size: 1 MB.Save time and upload your proof of vaccination now.Certification(Required) COA COT COMT RN Other Email(Required) Additional Attendee 5Name(Required) First Last Proof of Vaccination - required for all attendeesAccepted file types: jpg, png, pdf, Max. file size: 1 MB.Save time and upload your proof of vaccination now.Certification(Required) COA COT COMT RN Other Email(Required) Additional Attendee 6Name(Required) First Last Proof of Vaccination - required for all attendeesAccepted file types: jpg, png, pdf, Max. file size: 1 MB.Save time and upload your proof of vaccination now.Certification(Required) COA COT COMT RN Other Email(Required) Additional Attendee 7Name(Required) First Last Proof of Vaccination - required for all attendeesAccepted file types: jpg, png, pdf, Max. file size: 1 MB.Save time and upload your proof of vaccination now.Certification(Required) COA COT COMT RN Other Email(Required) Additional Attendee 8Name(Required) First Last Proof of Vaccination - required for all attendeesAccepted file types: jpg, png, pdf, Max. file size: 1 MB.Save time and upload your proof of vaccination now.Certification(Required) COA COT COMT RN Other Email(Required) Additional Attendee 9Name(Required) First Last Proof of Vaccination - required for all attendeesAccepted file types: jpg, png, pdf, Max. file size: 1 MB.Save time and upload your proof of vaccination now.Certification(Required) COA COT COMT RN Other Email(Required) Registration TypesRates go up $50 after February 1, 2022.IN PERSON Price: $300.00 Quantity: LIVE STREAM Price: $225.00 Quantity: PCC Graduating Student Price: $125.00 Quantity: PCC Student (no CE) Price: $0.00 Quantity: HiddenAmount of Registration TypeHiddenSTUDENTS ONLYHiddenNON Student TotalTotalYou have more Registration Types than Attendees. Please double check above.You have less Registration Types than Attendees. Please double check above.Total PaymentCredit CardCard Details Cardholder Name PhoneThis field is for validation purposes and should be left unchanged. Δ CANCELLATION POLICY: No refunds