Northeast Regional Osteopathic Conference Registration New England Institute of Technology 1 New England Tech Boulevard East Greenwich, RI | 02818 Name (with credentials) *Medical School: *AOA #Year of Graduation *Name for Badge *Contact InformationFirst Name *Last Name *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodePhone *Email Address *Registration Type(Check one)REGISTER TODAY!!! RESERVE YOUR SPOT! Membership in MOS, RISOPS or COMS is verified prior to the NEROCNote: Member dues must be paid by March 31, 2024.Physician Member - $595.00Associate Member $250.00Retired Physician $250.00Military Rate $250.00Non Member Physicians - $695.00Ancillary Provider - $250.00Guest Rate - $225.00Resident - $175.00Student - $135.00Speaker Rate $150.00Registration TotalsRegistration FeePrice$Cancellation Policy: Requests for cancellation refunds must be postmarked by September 1, 2024. After that, MOS will issue credit. Credit / Debit Card *RegisterPlease do not fill in this field.