Seminar Registration

Practice Name

Practice Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Attendees

Fee: $825 1st office member

$699 each additional office member

Name # 1

Position

Name # 2

Position

Name # 3

Position

Name # 4

Position

Name # 5

Position

Total Fee for your practice/attendees:

Hotel rooms are blocked for this event until October 3, 2026 under OMS PowerHouse Consulting at the Courtyard by Marriott Indianapolis Plainfield with a group rate of $184/night for 1 bedroom

To make a reservation please visit:
Courtyard by Marriott Indianapolis Plainfield

Registration payment options:

Credit Card: A secure payment link will be sent via QuickBooks within 2 business days to the email address provided above.

Check: Please make payable to OMS PowerHouse Consulting and mail to 5385 Tupelo Ct, Plainfield, IN 46168.

Planned Payment Method

Card

Check

Refund/Cancellation/Exchange Policy: For the purchase of event registration, if written cancellation is received within at least 72 business hours prior to the event a refund will be provided.

Seminar Registration

Attendees

Registration payment options:

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