Clone of 2025 APT Conference - Individual Registration

2026 Arizona Perinatal Trust Annual Conference

Individual Registration
Name

First Last Credentials
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone

Area CodePhone Number
Affiliation
Health System, Organization, Hospital, Company
Title
Are you seeking CEUs or CMEs
Please indicate how you would like your name printed on your badge

Other
Can we include your name on our Attendance List?
Registration Fees

Individual Registration - $250
Payment Type
When you click "Submit Registration," you will receive a confirmation email with instructions for mailing your check.
When you click "Submit Registration," you will be redirected to the PayPal login.

IF YOU HAVE a PayPal account, select the "PayPal Checkout" to login and complete your payment.

IF YOU DO NOT HAVE a PayPal account, select either the "Checkout" button to pay with a credit or debit card or the "Venmo Checkout" button to pay via Venmo.
Registration Fee
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Individual Registration$258.75
Registration fee + processing fee
No refunds will be made after 7/31/2026. "No Shows" are still due and payable in full, as meals and conference materials are purchased based on your registration. For registration questions email apt@azperinatal.org.
Payment Methods

Fastlane Checkout

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

Contact Info

Payment Info
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Registration Fees