Payer Day – Information for Payers

Payer Day Registration for Payers

Registration Details for Payers

Contact Name(Required)

First Last

Contact Email(Required)

Enter Email Confirm Email

Phone

Representatives

Two representatives may attend at no cost. Additional representatives can be added to your table for a registration fee of $40.00 per person. To register additional representatives, please contact the CMGMA Executive Office at 860-243-3977 with their names and payment prior to the event.

Company

Representative 1

Representative 2

Will you have a slide presentation?

Yes

Name of Representative that will present or speak?

Name of Representative that will participate in panel

Will you have a raffle prize at your table?

Yes