AAOMPT Member #:
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Name:
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Organization:
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Address:
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Special needs/accommodations required to fully participate in this conference:
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How did you learn about this conference?
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Is this your first time attending?
If No, how many times have you attended? |
Are you a member of APTA?
If yes, which section(s)? |
Academic Status:
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How long have you been in practice?
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Practice Setting:
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Primary Practice Area:
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Testimonial
AAOMPT wants to know how your past attendance at our annual conference has affected you in your profession. The presentations at the conference are designed to include information that you can use on a daily basis in your profession. Please tell us about a particular process, procedure or product you learned about and implemented and the successful results that ensued. Please include your name and title with in the testimonial.
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I give AAOMPT permission to edit without changing the context and reprint my testimonial to use in future promotional materials in connection with AAOMPT Annual Conferences. |
Conference Registration Categories and Fees:
Pre Conference includes a one pre conference course held Wednesday, October 29 and/or Thursday, October 30, 2008 only.
Full Conference includes Thursday, October 30, 2008 Fellows Recognition and. Welcome Reception; Friday, October 31, 2008 General Session with Keynote Presentations, AAOMPT Awards Luncheon and Student Meet and Greet and Poster Presentation Reception; Saturday, November 1, 2008 Breakfast with AAOMPT Committees, full day of Concurrent Breakout Sessions, Networking Luncheon, and Evening Reception; Sunday, November 2, 2008 Breakfast and Research Day Presentations.
Pre Conference and Full Conference includes one pre conference course and full conference registration as described above.
Guest Registration includes a spouse/guest only. Must register with conference attendee. Fee covers admittance evening receptions only.
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*This category includes a fellow or member currently enrolled in a PhD, DSe or OPT program |
If you have registered a guest please enter their name here
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| ** $35 registration fee will be allocated to the PTWA Political Action Fund. If you would like to make an additional donation please place that amount here. $ |
| Total Payment: $ |
All break out sessions will take place on Saturday, November 2, 2008. Please select which breakout sessions you would like to attend for each time slot.
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Committees:
AAOMPT Committees will be meeting during breakfast on Saturday, November 1, 2008. Please indicate which committee meeting you plan to attend.
Education
Examination
Membership
Nominations/Awards
Practice Affairs
Research
Standards
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Registration Cancellation Refund Policy:
Requests for cancellation refunds must be made in writing and be sent to the address below. Requests must be postmarked by October 15 will be refunded in full. A 20% handling charge will be assessed for cancellation requests post-marked between October 15 and October 20, 2008. No refunds after October 20, 2008. |
Hotel Information:
The AAOMPT conference will take place at the Bell Harbor International Conference Center, Seattle, Washington. Guest rooms have been reserved for conference attendees at the Seattle Marriott Waterfront Hotel (located across the street )at a discounted rate of $189.00 per night plus tax. To make your reservation, call 1-800-455-8254 or 206-443-5000 and ask for the AAOMPT group rate. Rooms will be available on a first come, first serve basis until October 7, 2008.
Questions? Call the AAOMPT Conference Office at 703-433-9436
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If you register for a full conference, please double check your selected breakout sessions before clicking the submit button.
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