IMGA 2026 Registration - Additional Attendees - Independent Medical Group Alliance

IMGA 2026 Additional Attendees

IMGA 2026 will take place September 24–26, 2026, at Stein Eriksen Lodge in Park City, Utah.

As part of their membership, IMGA members receive two complimentary registrations. Additional representatives may attend for a registration fee of $750 per person.

To register additional attendees, please complete and submit the form below.

Name(Required)

First Last

Title(Required)

Practice(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone(Required)

Email(Required)

Does the attendee have any disabilities or dietary restrictions?

Is there another contact (i.e. assistant) we should communicate with regarding your registration?

Number of guests (spouse and/or children):

Guest name(s):

This will help us prepare name tags for your guests if they join us at the evening receptions.

IMGA 2026 Annual Forum

Price:

Coupon

Total

Credit Card(Required)

IMGA 2026 Additional Attendees

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