Individual Registration

Please enter information in the form below to process registration for event MLOA AGM 2026.

First Name *

Last Name *

Organization

Address *

Address 2

City *

Zip/Postal Code *

Country *

State/Province

Phone

Email *

Comment

Please select all of the items you will be present for *

Monday, December 7th Presentations (Light Breakfast & Lunch included, $50)

Monday, December 7th Banquet Dinner ($125)

Tuesday, December 8th Presentations (Light Breakfast & Lunch Included, $50)

Amount

Payment Method

Credit Card

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*