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Copy of Desert Chapter - California Association of Medical Staff Services 2026 Legal Conference
REGISTRATION FORM
Desert Chapter - CAMSS
2026 Legal Conference
March 20, 2026
Payment is due by March 16, 2026
Virtual Webinar
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1.
Membership Status -
Subject to Verification
* Membership year is from January 1 to December 31 of the year in which dues are paid.
Member benefits include free admission to the Annual Legal Conference and a discounted rate for the Annual Educational Conference.
Note: Membership in the State CAMSS organization or other local chapters does not grant membership rights to the Desert Chapter.
Current Desert Chapter Member* - Registration Fee - Free
Non-Member - Registration Fee - $70
I wish to become a member of the chapter and will submit my application and payment to Maria Puentes
2.
Conference Payment Method
I will send a check to CAMSS Desert Chapter PO Box 1752 Loma Linda, CA 92354
I will contact Maria Puentes at desertcamss@gmail.com to make payment arrangements
Chapter Member; no payment required
3.
Name
4.
Certification
CPMSM
CPCS
CPHQ
CPMSM, CPCS
Other (please specify)
5.
Facility/Company
*
6.
Email Address
Please ensure that the email you provide is accurate and the one you intend to use for accessing the meeting. This is the email address where we will send the meeting link and all other correspondence. This will ensure prompt delivery of your meeting documents and CEUs.
(Required.)
*
7.
Contact Phone Number
Please ensure that the phone number you provide is accurate.
(Required.)
The webinar link will be sent a few days prior to the meeting, once membership and payment is confirmed. If you do not receive a link please contact Maria Puentes at
desertcamss@gmail.com
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