Survey - Program Registration and Password Reset

Program Registration and Password Reset

For help accessing your program registration account, please complete the form below or chat with an MS Navigator (chat button is in the lower righthand corner). Chat hours are Monday-Friday, 10 a.m.-6 p.m. ET.

Upon completion of this form, our team will register you for the program of your choice and email you a confirmation and login credentials. If you need additional support, or do not receive a confirmation email within two business days, please reach out to us at newtoms@nmss.org.

If the program is occurring today and you need assistance, please call an MS Navigator at 1-800-344-4867. Phone hours are Monday-Friday, 9 a.m.-7 p.m. ET.

1. Field Is Required First name

2. Field Is Required Last name

3. Field Is Required Email

4. Field Is Required Address: Street 1 (Maximum response 255 chars, approx. 5 rows of text)

5. Address: Street 2 (Maximum response 255 chars, approx. 5 rows of text)

6. Field Is Required City

7. Field Is Required State/Province

8. Field Is Required Phone

9. Field Is Required What is the name of the program you would like to attend?

10. Field Is Required What is the date of the program you would like to attend?

11. If the program is in person, please specify the city and state:

12. If you are attending an in-person program, you may bring up to 3 guests. Please enter the total number of people attending (including yourself):

13. Field Is Required What is your personal connection to MS?