SVSU Event Registration

Use this convenient form to register for our events by selecting an event, submitting your information and paying online with the provided link. If you have any questions or need assistance, call our staff at (989) 702-2165.

Select Event:
 Select Location You Will Attend:
Organization:
Address:
City/State/Zip: ,  
Contact Name:
Contact Phone:
Contact E-mail:
Number Attending:
Number of people attending Lunch?  

Names of each person attending:

(Please indicate if person attending is any of the positions below by checking the box beside their appropriate position(s), may have more than one.)

Name MD DO NP PA Other Healthcare Professional Health Care Administration Are you a Board Member?
(Check if applicable)

 
Amount Due:

Please note: To complete your registration, you MUST fill in the letter code at the bottom to validate your submission, then click the 'SEND' button to submit your registration. After completing this registration form and clicking the "Validate" and "Send" buttons below, you will then be prompted to visit our online pay site by clicking the "Continue" link at the bottom. As a convenience, we are including that link here, also, but you should first complete the registration to be sure your form is submitted.

Make Payment Online
Please validate by entering the text from the image below into the provided field.
YOU WILL THEN BE ABLE TO CLICK THE SEND BUTTON TO SUBMIT YOUR FORM.