Meeting Registration Meeting Registration "*" indicates required fields For HFMSNJ members, companies and non-members wishing to attend a meeting. If you wish to pay by check, please fill out this form and then mail check to: HFMSNJ, Inc. PO Box 95 Cranford, NJ 07016 Membership status:* Member Member Plus - with meals Non-member Retiree member Meeting Date* MM slash DD slash YYYY RegistrationName* First Last Phone*Email* Non-Member RegistrationName* First Last Phone*Email* Company Name* CommentsRegister another non-member?* Yes No 2nd Non-Member RegistrationName* First Last Phone*Email* Company Name* CommentsPaymentPayment:* Member meal - $35.00 Non-member - $70.00 Non-member hospital employee - $35.00 Retiree - $35.00 I'm paying by check (send your payment to address above) QuantityPlease enter a number greater than or equal to 1.Total Payment MethodPayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged.
