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Winter Retreat Registration

Mercy Health Network – North Iowa will pay for the food expenses during the planned programming.  You may choose to spend the evening at one of the hotels in Mason City. If you do, you can turn in your invoice and use your CME funds to be reimbursed. All other room charges are the responsibility of the participant.

* Indicates required information
First Name * 
Last Name * 
Email Address * 
Prefix 



Street Address 1 * 
Street Address 2 
City * 
State * 
CME Session 
I will be attending the CME session. (For Medical Staff only) * 
I will be attending the Strategic Planning Session * 
Noon Meal 
I plan on attending the Noon Meal (open to participants only) * 
Evening Entertainment 
RSVP dinner (Open to all guests) * 
I plan on bringing a guest. * 
Kids Room 
Number of children 
Ages of children 
Family Entertainment 
I plan on attending the Zumba Class 
If yes for Zumba, # of participants 
I plan on attending the Cooking Demonstration 
If yes for Cooking Demonstration, # of participants 
Authentication * 

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 Mercy Medical Center-North Iowa | 1000 4th Street SW Mason City, IA 50401 | 641-428-7000

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