The MAGIC Foundation's 27th Annual VIRTUAL Convention

$100 Registration fee includes a one year membership to MAGIC. We are also offering a discounted rate of $25 for medical professionals in the field of Endocrinology. *

Registration Fee

Pay it Forward Registration Fee (gift a free registration to a scholarship family)

Endocrine Medical Professionals (MD's and RN's)

Please describe yourself: *

First Name *

Last Name *

Suffix

Street Address *

Address Line 2

City *

State *

Province (if Canada)

Country *

Zip or Postal Code *

Phone Number *

Email Address (this email will be your login email for virtual convention) *

List the name of affected person

Affected DOB

Affected Sex

Endocrinologist Name

Endocrinologist City

Please check primary disorder for affected person:

$0.00

Current Total: