Spring Conference 2026 Registration Spring Conference 2026 Registration NameThis field is for validation purposes and should be left unchanged.This form is for those who wish to pay online. If you want to register now and send in payment, please complete the other form below.Registrant Name(Required) First Last Please Choose One:(Required) MD DO NP Other Clinic NamePlease help us update our database by providing your clinic name. If you work for a hospital system, please indicate that as well.Please click the box below if you are an AAFP Fellow with the designation 'FAAFP': FAAFP Please click the box below if you are a first-time attendee: First Time Attendee Please click the box below if you request vegetarian meals at the conference. Vegetarian Please Please list any food allergies you may have:AAFP Member Number:Address:(Required) Street Address City State / Province / Region ZIP / Postal Code Mobile Phone:(Required)MAFP use onlyYour Email:(Required) Back by popular demand are our Round Table Discussions. If there is a topic you would like to discuss, please add it in the section below. If you would be willing to lead a round table discussion, please check Yes or No.I would like to lead a round table discussion: Yes No REGISTRATION FEES:Registration Fee(Required)The fees below reflect a 3% charge to offset processing fees. Cancellation Policy: Refunds, minus a $50 cancellation fee, will be made upon request in writing to the MAFP office, if received by April 1. After April 1, no refunds will be granted. MAFP Member - $386.25 NON Member - $489.25 While at the conference, I will be staying overnight at:(Required) Sheraton Refuge Off Property I am interested in playing golf on Saturday, April 18 at 3:00pm at The Refuge. Yes No Are you interested in joining the Friday night dine around at Table 100? Please select Yes or No Yes No If you answered yes to the Dine Around, will you be bringing a spouse or guest? Yes No Sponsor a Student QuantityPromote family medicine interest by helping Mississippi medical students attend the 2025 Spring Fling. Your contribution will directly help offset the cost of medical students' hotel rooms and conference expenses. You will be recognized with a special STUDENT SUPPORTER ribbon. Price: $51.50 Quantity MAFP LOGO ITEMSItems you order here will be waiting for you at the registration desk.MAFP Crew-Neck Sweatshirt - $36.05 each Quantity'MAFP' in big letters with 'Mississippi Academy of Family Physicians' written underneath. Price: $36.05 Quantity Sweatshirt Size & Color100% cotton crew-neck sweatshirt available in white, grey, powder blue, and navy blue. Sizes range from Adult Small to 3XL. Please specify your size and color preference here.MAFP T-shirt - $20.60 each Quantity'MAFP' in big letters with 'Mississippi Academy of Family Physicians' written underneath. Text is navy on the white and grey items and white on the navy blue items. Price: $20.60 Quantity T-shirt Size & Color100% cotton Gildan crew-neck t-shirt available in white, grey, "Katie" coral, kelly green, forest green, powder blue, and navy blue. Sizes range from Adult Small to 3XL. Please specify your size and color preference here.MAFP FOUNDATION FUND RAISER ITEMSPurchase your items here , and they will be waiting for you at the Registration Desk!Watercolor Print (Signed & Numbered) Quantity(Special price for Conference attendees) Price: $51.50 Quantity Split the Pot Ticket Drawing QuantityDrawing to be held during the 2026 MAFP Annual Meeting in July. Tickets may be purchased during the Spring Conference. Price: $103.00 Quantity Images in Mississippi Medicine Book Quantity Price: $51.50 Quantity Total PAYMENTCredit CardCard Details Cardholder Name Δ
