Midwifery Today Conference
“The Heart and Science of Birth”
Eugene, Oregon • April 5–9, 2017
Registration Form

Thank you for your interest in attending the Midwifery Today Conference.To submit your registration, please fill out the information below. Please be aware that your space is not reserved until payment is received.
 
PLEASE NOTE: This is an interactive form; there are follow-up sections which do not appear until certain choices are made. You will need to be prepared with your contact info, the dates you will attend and class choices where offered, certification number (if applying for CEUs), decisions on subscriber status and Friday lunch social, and method of payment including credit card details if using credit card. (If you prefer to print out and write on a registration form, please go to our standard registration page.)

1. Name and Address

Include my contact information on lists distributed to other attendees. *

2. Class Selection

Please check off each day of the conference you plan to attend.
 
Please select each class you will attend. Select one class from each set of concurrent sessions offered on the days you will attend. For example, if you will attend the conference on Friday, you need to select one class from C1 through C4 and also one class from D1 through D4. Class descriptions can be found in the conference program.
Wednesday, April 5, 2017: Pre-Conference

Select a full-day course (9:00 am – 5:00 pm):
 *
Thursday, April 6, 2017: Pre-Conference

Select a full-day course (9:00 am – 5:00 pm): *
Friday, April 7, 2017: Conference Day One

Select one class (2:30 pm - 4:00 pm): *
Select one class (4:15 pm - 5:45 pm): *
Saturday, April 8, 2017: Conference Day Two

Select one class (1:30 pm - 3:00 pm): *
Select one class (3:30 pm - 5:00 pm): *
Sunday, April 9, 2017: Conference Day Three

Select one class (10:30 am - 12:00 pm): *
Select one class (1:30 pm - 3:30 pm): *

3. Subscribe to Midwifery Today  [ Optional ]

Subscribe to Midwifery Today magazine and Save up to $75 on Conference Prices! Subscribers to Midwifery Today are eligible for reduced conference prices. If you are not currently a subscriber, you can obtain registration discounts by subscribing at this time. Midwifery Today magazine is published four times per year. Each issue contains articles, stories and opinions, written by midwives and other birth practitioners from around the world. More information here.

Price for 1-year subscription to Midwifery Today:

United States: $55    Canada: $68    Other International: $75

Price for 2-year subscription to Midwifery Today:

United States: $105    Canada: $131    Other International: $145

Indicate your subscriber status/subscription choice under section 5, Conference Prices and Payment.

4. How to Determine Conference Prices and CEU Fees

  1. Prices do not include transportation, overnight accommodations or meals. Look up the price in the table in Section 5, Conference Prices and Payment.

  2. Discounts

    Note that the table shows discounted prices for those who register early and for those who are subscribers to Midwifery Today.

    Students who pay tuition who register for three or more days may deduct 30% if they submit proof of their full-time student status. Proof of student status should be submitted as soon as possible after registration and may be e-mailed to conference@midwiferytoday.com or faxed or mailed by post to the contact information on the confirmation page. [The student discount does not apply to CEUs, lunch or subscriptions.] Select the prices that apply to you in the payment section of this form.

    No discounts apply to subscriptions, CEUs or lunch.

  3. Please pay your CEU fees in the payment section of this form: $10 per day for ACNM, MEAC and the Oregon Board of Naturopathic Medicine (OBNM).

5. Conference Prices and Payment

No discounts apply to subscriptions, CEUs or lunch.
Postmark on or before
December 2, 2016
Subscriber Non-Subscriber
1 day $130 $145
2 days $260 $290
3 days $335 $380
4 days $455 $515
5 days $575 $650
Postmark on or before
February 17, 2017
Subscriber Non-Subscriber
1 day $140 $155
2 days $280 $310
3 days $360 $405
4 days $490 $550
5 days $620 $695
Postmark on or before
March 22, 2017
(in office deadline)
Subscriber Non-Subscriber
1 day $150 $165
2 days $300 $330
3 days $385 $430
4 days $525 $585
5 days $665 $740

Walk-in registrants are always welcome. Just pay when you arrive.

Register by mail: The prices you pay are determined by the postmark on the envelope in which you return your registration form and payment. We must receive your registration no later than March 22, 2017.

Register by phone, fax or e-mail: The date Midwifery Today receives your communication will be deemed to be the postmark date. We must receive your registration and payment no later than March 22, 2017.

Register online: The date Midwifery Today receives your online registration will be deemed to be the postmark date. For payment by check or money order, we must receive your online registration and payment no later than March 22, 2017.

After March 22, 2017, you may register in person at the conference. Simply pay the March 22, 2017, prices. To register at the conference, you may print a copy of the registration form by going to this page, then fill it out and bring it to the conference for speedier registration. Class offerings may be limited, so please contact Midwifery Today before you arrive.

Please calculate the amount you need to pay by completing the items below.
REQUIRED: Please indicate your subscription status or choice below. * 
Please select the price based on the number of days you will attend.
(This selection is revealed only when your subscription status has been selected above.)
Please select the price based on the number of days you will attend.
(Be sure the number of days you select agrees with the number indicated under #2 Class Selection.) *
Please select the price based on the number of days you will attend.
(Be sure the number of days you select agrees with the number indicated under #2 Class Selection.) *
Student Discount (Applies to students who pay tuition, who register for three or more days, and provide proof of current enrollment)
(This selection is revealed only when 3 or more days are selected above.)
Please indicate if you are applying for the student discount. *
Continuing Education Fees - $10 per day
Continuing Education Fees - $10 per day
Please enter number of days attending in box.

Friday Lunch Social: Registrants $15 / Non-registrants $25.
Current Total:
$0.00
Questions about this registration form or about the conference? Please contact us at conference@midwiferytoday.com.
Refund and Cancellation Policy: If you cannot attend the conference after you have registered and sent in your payment, you must call or e-mail the office and let us know on or before the cancellation date. You will be refunded the amount you paid minus 30% for processing. The cancellation date for the conference is February 20, 2017. No refunds after this date. *
Disclaimer: Midwifery Today, Inc., cannot be held responsible for natural disasters, labor strikes, acts of war, or other events that may cause the conference to be rescheduled. Midwifery Today, Inc., reserves the right to postpone the conference to another time, date and, if necessary, location. In the event of a conference postponement, no refunds will be issued. Registrants can transfer their fees toward any other Midwifery Today conference. Midwifery Today, Inc., reserves the right to substitute teachers and/or classes. The views and opinions expressed by teachers are their own and may not represent the views and opinions held by Midwifery Today, Inc., and its staff members.

   Notice: Changes to the program: Speakers, classes or other details may change. We recommend that prior to registering you check our website for changes.
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TO SUBMIT FORM AND PROCEED WITH PAYMENT
 
Review your order above and make any corrections now. In the area below, select from the following payment options and be prepared with credit card details, including billing address, if choosing credit card, before submitting form:
Payment Method *