Sign Up for the Spring Conference
Please click on the Submit button to submit the form details.
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indicates required fields
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First Name:
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Last Name:
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Organization:
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Title:
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Street:
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City:
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State:
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Zip:
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Phone Number:
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e-mail:
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aIPAM/HFMA member:
Y: Conference Fee $85.00
N: Conference Fee $95.00
How will you be paying?:
I will pay online by credit/debit card
I will be sending a check to the PO Box
Clicking the submit button will process your registration and take you to the payment options page. Thanks for attending this aIPAM Event
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