Event registration and payment

Instructions:
  1. Select an event for which you want to register.
  2. Pick a payment method and enter the registrant's information in the space provided. (All fields marked with * are required).
  3. Click on "Register for Event" button to save your registrant information.
  4. If paying by "cash" or "check" you will receive an email confirmation and further instructions.
  5. If paying by "Credit Card-Single Person" a "Pay by Credit Card" button will appear after you have registered. Click on the button to transfer to US Bank E-Payment Service (note: credit card payments include a non-refundable convenience fee collected by US Bank).
  6. If paying by "Credit Card-Group" keep adding new registrants. When you are ready to pay for the group click on the "Pay by Credit Card for Entire Group" button. You will transfer to the US Bank E-Payment Service to make one credit card payment that covers event and convenience fees for the entire group. (note: credit card payments include a non-refundable convenience fee, for each registrant, collected by US Bank).
  7. After a successful credit card payment to US Bank, the payor will receive an email confirmation. If paying by "Credit Card-Group", each member of the group will recieve a separate email confirmation of their registration.
  8. If MDH staff, you may choose the "PO" payment option. If approved, Finance will enter the proper payment code. You will receive an email confirmation and further instructions.
  9. If you have problems with this payment form, please fill out our MDH Feedback Form and direct your feedback to the Webmaster.
 
Event
Registration closes:
Event description
Event fee   Convenience fee   Credit Card payment
Event Start date   Event end date
Capacity   Seats remaining
Event location:  
 
 

Registrant Information  (* Required Field)
Payment* Cash
Check
Credit card-single Person
Credit card-group (Multiple persons register but one CC payment)
PO (MDH Staff Only)
First name*
Last name*
Email address*
Re-enter email address*
Phone number*  (999-999-9999)
Organization
Street address 1*
Street address 2
City*   State*
Zip*
Special accommodations
 
To prevent abuse of this form, please type the following letters/numbers 8RQUQ into the field below. Thank you.

required field