Fall Conference 2026 Registration Fall Conference 2026 Registration CompanyThis field is for validation purposes and should be left unchanged.Registrant Name(Required) First Last Please Choose One:(Required) MD DO NP Other Please click the box below if you are an AAFP Fellow with the designation 'FAAFP': FAAFP Please select one of the boxes below if you are a student or resident: Student Resident Clinic, Residency Program, or Medical School:(Required)Please click the box below if you are a first-time attendee:(Required) First Time Attendee I've Attended Before Address:(Required) Street Address City State / Province / Region ZIP / Postal Code Mobile Phone:MAFP use onlyYour Email:(Required) While at the conference, I will be staying overnight at:(Required) The Grand Hotel using MAFP Group Rates The Grand Hotel NOT using MAFP Group Rates Off Property REGISTRATION FEES:Registration Fee(Required)Active member fee is $350 and the Non-member fee is $450 before October 1, 2026. Fees will increase to $450 for members and $550 for non-members after September 30. A 3% fee to accommodate our processing fees will be added. PLEASE CHOOSE THE REGISTRATION FEE THAT APPLIES TO YOUMAFP Member | $360.50NON- Member | $463.50Resident | $0.00Student | $0.00Spouse or Guest ($50.00 per guest) Quantity Price: $51.50 Quantity Spouse/ Guest Name First Last Consent(Required) As an attendee of the MAFP conference, I understand that my name and city will be included in the official attendee list. This list will be provided to exhibitors, sponsors and other registered attendees for networking and communication.Fall Conference ActivitiesYou must register in order to attend or participate. MAFP Dine Around - Friday, October 30 at 7pm Wash House (15 seats available) Little Bird ( 6 seats available) The Hope Farm ( 6 seats available) Please select which restaurant you would like to dine at with your fellow MAFP Fall Conference Attendees Number in Your Party For Dine AroundPlease enter a number from 1 to 4.A Night At Theatre 98 - "Blithe Spirit" by Noel Coward QuantityFriday, October 30 at 7:30pm; $27 per ticket Price: $27.00 Quantity Register for Golf at Azalea Course Yes, I am interested in playing golf on Saturday. Saturday, October 31 at 1:30pm $226 per person to be paid at the course.A Grand Night Out Reception Yes, I plan on attending No, I do not plan to attend Join your MAFP Fall Conference attendees Saturday, October 31 for an evening reception at the Estate Garden and games on the Games Lawn. Support the MAFP FamDocPACSelect Your FamDocPAC Contribution LevelPease note that the prices will incur a 3% fee to accommodate our processing fees. $50 PAC Contribution $100 PAC Contribution $250 PAC Contribution $500 PAC Contribution $750 PAC Contribution $1000 PAC Contribution MAFP FOUNDATION FUNDRAISER ITEMSFunds will be used for Foundation Physician Workforce Projects for Students and Residents. Watercolor Print (Signed & Numbered) Quantity(Special price for Fall Conference attendees) Price: $51.50 Quantity Sponsor a Student - $25 Quantity Price: $25.75 Quantity Split the Pot Quantity$50 per ticket Price: $51.50 Quantity MAFP SwagOrder any item and we will bring it the Fall Conference. MAFP Golf PoloMENS Navy PoloWOMENS Pink PoloWOMENS Light Blue PoloMAFP HatBlack Nike HatPink Nike HatWhite Nike HatMAFP SweatshirtGreyNavyPowder BlueWhiteMAFP Half Zip PulloverNavy MENS PulloverNavy WOMENS PulloverMAFP T-ShirtForest Green TshirtGrey Tshirt"Katie Coral" TshirtKelly Green TshirtNavy Blue TshirtPowder Blue TshirtWhite TshirtT- Shirt Quantity1234Shirt SizeSmallMediumLargeXL2XL3XLSelect from the Drop Down PAYMENTCredit Card Total Δ
