Coffee with MIOSHA/General Committee Meeting/Holiday Lunch Registration

December 20, 2023

Okemos Event Center (Ballroom)

2187 University Park Drive, Okemos, MI 48864

Questions? E-mail denise@michsafetyconference.org

First Name(Required)

Last Name(Required)

Title

Company(Required)

Phone Number

E-mail

What Will You Be Attending?(Required)

Coffee with MIOSHA (9:15-10:30 am)

MSC General Planning Committee Meeting (10:30-Noon)

MSC Volunteer Lunch (Noon-1:00 pm No Additional Cost) CONFERENCE VOLUNTEERS ONLY

Lunch (Noon-1:00 pm $20.00)

Lunch (Noon-1:00 pm)

Price:

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing E-mail

This will be the email that will receive a receipt from our credit card processor.

Billing Phone Number