First Name (required)
Last Name (required)
Street Address (required)
Cell Phone (required)
Your Email (required)
Please reserve my place to attend the Medical Leadership Conference February 17 & 18, 2017.
Please indicate your payment choice (required):
My non-refundable payment was sent through paypal I plan to mail my non-refundable payment
Please acknowledge that you will provide your own transportation (required):
I understand I must provide my own roundtrip transportation to Miami and will provide my flight information or driving arrival time to Lourdes Volunteers.
I plan to drive to Miami/Kendall, FL I plan to fly to Miami-MIA airport
I have made my reservation with the Holiday Inn Express
I would like to discuss the possibility of sharing a room with another attendee
I would like to join the Sunday excursion to the Florida Keys.
Describe any special needs with which we could assist during the conference:
Is there anything else you want us to know?
To pay your registration fee of $199 via PayPal:
to return to the main Conference information page.
Lourdes Volunteers is a Catholic Public Association of the Christian Faithful and a non-profit tax exempt charity.