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2022 Ohio ACNM Forward
Welcome! We are so glad you are planning to attend Ohio's annual ACNM Forward.
Event details cane be found at:
midwivesofohio.org/forward-event/
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* Indicates required question
Email
*
Your email
What is your preferred name?
*
Your answer
What is your title? (please select all that apply)
*
CNM
CPM
WHNP
Midwifery Student
FNP
Other:
Required
Do you have any dietary restrictions or requests?
Your answer
Are you a current member of the ACNM?
*
Member of national ACNM
Member of national ACNM and Ohio Affilate
Not a current member
Have you attended an Ohio ACNM Forward in the past?
Yes
No
Clear selection
What days do you plan to attend?
*
Friday only
Saturday only
Friday, Saturday, and Sunday
Other:
Required
Have you submitted you payment via PayPal? (required in addition to form to complete your registration) Fees can be sent via PayPal at
https://paypal.me/OhioACNM
*
Yes, I sent my fee of $225 for admission via PayPal
Yes, I sent my fee of $125 for student admission via PayPal
Other:
Anything else you think we should know?
Your answer
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