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2025 Spring Conference Registration
2025 Spring Conference Registration
Mary McGinn
2025-02-12T10:21:51-05:00
Countdown to the MSIA 2025 Spring Conference!
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MSIA 2025 Spring Conference Registration
*All cancellations will be subject to a fee of 10% of the total purchase price.
Step
1
of
2
50%
Registration Information
Type of Registration
(Required)
Attendee
Exhibit
Sponsor
Are You a Member of MSIA?
(Required)
Unsure? Check our member list at https://michselfinsurers.org/membership-list/
Yes
No
Type of Membership
Self-Insured Employer or Group Fund (Self-Insured)
Vendor (Provider, TPA, PI, IME, NCM, Other)
Attorney
Industry Category
Self-Insured Employer or Group Fund (Self-Insured)
Vendor (Provider, TPA, PI, IME, NCM, Other)
Attorney
Member Self-Insured Employer or Group Fund (Self-Insured)
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Member Vendor (Provider, TPA, PI, IME, NCM, Other)
*Does not include booth
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Member Attorney
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Non-Member Self-Insured Employer or Group Fund (Self-Insured)
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Non-Member Vendor (Provider, TPA, PI, IME NCM, Other)
*Does not include booth
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Non-Member Attorney
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Member Exhibit Booth
Price:
Do You Need to Purchase Additional Representative Registrations?
Yes
No
Additional Member Representative(s)
Price:
Number of Additional Representative Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Non-Member Exhibit Booth
Price:
Do You Need to Purchase Additional Representative Registrations?
Yes
No
Additional Non-Member Representative(s)
Price:
Number of Additional Representative Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Sponsorship Opportunities
Diamond Sponsor $3,000.00
Boyne Valley Vineyards Winery/Gypsy Distillery Tour $2,500.00
Thursday Reception PRICING COMING SOON
Platinum Sponsor $2,000.00
Gold Sponsor $1,500.00
Casino Trip Sponsor $1,500
Wednesday Welcome Reception $1,500.00
Coffee with the Board Event $1,500.00
Bag Sponsor $1,200.00
Mobile App Sponsor $1,125.00
Silver Sponsor $750.00
Lanyard Sponsor $600.00
Board Dinner Sponsor $500.00
Lunch Sponsor $500.00
Breakfast Sponsor $400.00
Break Sponsor $350.00
Diamond Sponsor
Price:
Boyne Valley Vineyards Winery/Gypsy Distillery Tour
Price:
Platinum Sponsor
Price:
Gold Sponsor
Price:
Casino Trip Sponsor
Price:
Wednesday Welcome Reception
Price:
Coffee with the Board Event
Price:
Bag Sponsor
Price:
Mobile App Sponsor
Price:
Silver Sponsor
Price:
Lanyard Sponsor
Price:
Board Dinner Sponsor
Price:
Lunch Sponsor
Price:
Breakfast Sponsor
Price:
Break Sponsor
Price:
Do You Need to Purchase Discounted Additional Attendee Registration(s)?
Yes
No
Discounted Additional Attendee Registration
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Do You Need to Purchase Attendee Registration(s)?
Yes
No
Type of Membership
Self-Insured Employer or Group Fund (Self-Insured)
Vendor (Provider, TPA, PI, IME, NCM, Other)
Attorney
Industry Category
Self-Insured Employer or Group Fund (Self-Insured)
Vendor (Provider, TPA, PI, IME, NCM, Other)
Attorney
Member Self-Insured Employer or Group Fund (Self-Insured)
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Member Vendor (Provider, TPA, PI, IME, NCM, Other)
*Does not include booth
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Member Attorney
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Non-Member Self-Insured Employer or Group Fund (Self-Insured)
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Non-Member Vendor (Provider, TPA, PI, IME, NCM, Other)
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Non-Member Attorney
Price:
Number of Registrations
If you need to purchase more than 10 registrations, please e-mail our event partner mary@associationguidance.com
Please enter a number less than or equal to
10
.
Registration Total
Special Event Information
Do You Plan on Attending The Gypsy Distillery and Boyne Valley Vineyards Tour (Space Limited) or Using Provided Shuttle to Odawa Casino?
Events will take place concurrently on Wednesday, May 28, 2025, in the afternoon. Transportation will be provided. There is no additional cost to attend these events; you will be responsible for purchasing your own food and beverage at each location.
I plan to attend the Gypsy Distillery and Boyne Valley Vineyards Tour (Space Is Limited)
I plan to utilize the complimentary shuttle to the Odawa Casino
I do not plan to attend either event
If You Are Registering More Than One Person, Are Your Additional Attendees Planning On Attending The Event?
Yes, All Attendees
Yes, But Not All Attendees
No
If Yes, But Not All Attendees Please List The Names Of Who Plans To Attend
Contact Information
Company
(Required)
Name
(Required)
First
Last
Job Title
(Required)
Email
(Required)
Phone Number
Additional Registrants - If You Are Purchasing Multiple Registrations, Please Provide the Names, Titles, and Email Addresses for Any Additional Registrants
Payment Information
Will You Be Paying By Credit Card or Do You Need To Be Invoiced?
Credit Card
Invoice
Billing Email
(Required)
You will receive a receipt and/or invoice at the email address provided.
Billing Phone Number
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Registration Total
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
Security Code
Cardholder Name
If you have any questions, please e-mail our Event Planner at mary@associationguidance.com
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