Registration Please indicate the quantity you would like for each type of registration shown below. Then click on "Continue" to confirm your order selections and total. After that we will ask for your name and address information and your payment information to complete your order on our secure server.   Early Bird: Non Member Before April 1, 2010   Order at $612.95 each Price: $600.00 Processing: $12.95 Total: $612.95     Early Bird: Non Member and Spouse/Guest Before April 1, 2010   Order at $765.05 each Price: $750.00 Processing: $15.05 Total: $765.05     Earlybird: Member* Before April 1, 2010 *Member of IOA or respective state association.   Order at $461.68 each Price: $450.00 Processing: $11.68 Total: $461.68     Early Bird: Member* and Spouse/Guest Before April 1,2010 *Member of IOA or respective state association.   Order at $611.29 each Price: $600.00 Processing: $11.29 Total: $611.29     Inactive IOA Member** **Active member of IOA at least 10 years, now retired. No CME credit will be reported.   Order Price: $0.00 Processing: $0.00 Total: $0.00     Inactive IOA Member** and Spouse/Guest. **Active member of IOA at least 10 years, now retired. No CME credit will be reported.   Order at $155.60 each Price: $150.00 Processing: $5.60 Total: $155.60     Medical Students/Interns/Residents   Order Price: $0.00 Processing: $0.00 Total: $0.00

Activity Questionnaire Indiana Osteopathic Association has requested that its customers provide the following information to better help it fulfill your order. Required questions must be answered in order to complete your order.    Please list your AOA member number. **Required      Please list your medical college and year of graduation. **Required      Please select the following people who will participate in scheduled morning - afternoon guest activities on Thursday, April 29. **Required N/Aregistered spouse/guestregistered spouse/guest and children Hold down the "Ctrl" key to select multiple responses.  Please select the following people who will participate in scheduled morning - afternoon guest activities on Friday, April 30. **Required N/Aregistered spouse/guestregistered spouse/guest and children Hold down the "Ctrl" key to select multiple responses.  Please select the following people who will participate in the Advocates dinner, comedy show, and silent auction on Friday, April 30. If spouse/guest not registered, tickets may be purchased at the registration desk for $40 each for adults and $15 each for children(12 and under). **Required N/Aphysicianphysician and spouse/guestphysician, spouse/guest and children Hold down the "Ctrl" key to select multiple responses.  Please select the following people who will participate in the company-sponsored program on Thursday, April 29. **Required N/Aphysician Hold down the "Ctrl" key to select multiple responses.  Please select the following people who will participate in the president's reception on Saturday, May 1. **Required N/Aphysicianphysician and spouse/guestphysician, spouse/guest and children

Indiana Osteopathic Association Purchase/refund policy: The IOA must receive notice of cancellations by April 1, 2010, to grant full refunds. If originally paid by credit card, cancellations are subject to a 5% service fee. All cancellations received after April 1 are subject to a 5% service fee. After April 22, 2010, all cancellations are subject to a 25% service fee. Acteva's Purchase/refund policy: Refunds and cancellations are provided only at the discretion of the organization hosting or sponsoring this event. Acteva, Inc. issues credits only when directed to do so by the sponsoring organization. Contact the sponsoring organization for further details.