APMA Members

  $300.00 - Registration
$350.00 - Registration AFTER 10/1/2021
  $200.00 - NEOAPM Members
$250.00 - NEOAPM Members After 10/1/2021
$100.00 - APMA Life Members
$150.00 - APMA Life Members After 10/1/2021
  $70.00 - Residents (with letter from residency director)
  $70.00 - Students (with letter from Deanís office)

NON - APMA Members

$400.00 - Non-APMA Registration
$450.00 - Registration Postmarked AFTER 10/1/2021

Registrant Information

* = required field
Title
First Name *
Last Name *
Suffix
Email *
Email address must be a personal email NOT a business email
Address *
City *
State *
Zip *
Phone *
Fax
APMA #
State License #

Payment

Register online now.

  or print this page and return with check or money order to:
NEOAPM Fall Classic Seminar
32730 Walker Road, Suite I-3
Avon Lake, Ohio 44012