2025 APIC NM Conference Virtual Participant Registration

2025 Virtual Participant Registration

Please complete the form below
Full Name*

First NameLast Name
Professional Credentials
Job Title
Organization
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Mobile Number (will only use number in case of emergency or to share pertinent information)

Area CodePhone Number
E-mail*
example@example.com
Confirm Email*
example@example.com
This year we are offering a virtual option for those unable to attend the conference in-person. You will receive your unique link to join the conference a week prior to the event. There will be somebody monitoring the chat so that you have opportunities to ask questions about this option.

Please contact us if you have any questions: apicnm_admin@apicnm-32.org
Please select from the options below:*
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Virtual Attendance Registration Fee $150.00

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

2025 Virtual Participant Registration