VPMA 2023 - DPM Registration

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Phone:
• Cell Phone:

• Promo Code

  Enter Code: Apply

• Fee

  Type	Fee
  VPMA Member $549.00 after Monday, July 3, 2023	$499.00
  APMA Member $549.00 after Monday, July 3, 2023	$499.00
  Non-Member $749.00 after Monday, July 3, 2023	$799.00
  VPMA Life Member $50.00 after Monday, July 3, 2023	No Charge
  Student or Resident $50.00 after Monday, July 3, 2023	No Charge
  Federal Service Member $329.00 after Monday, July 3, 2023	$279.00
  Spouse or Guest $279.00 after Monday, July 3, 2023	$229.00
  Speaker	No Charge

Attendee Information

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