Online Registration for the Second BM&R

Online Registration

To register online for the Second Biennial Meeting & Reunion on July 20-22, 2018 in New York City, please follow the following 2 steps:

Fill out the form below, then
Pay either by Credit/Debit Card through PayPal or by sending your check (see below, after the Form).

Please be reminded of the deadlines outlined in the figure. If you are bringing guests, please indicate appropriately. Guests for Friday’s Welcome Reception are charged $65 per person, while guests for Saturday’s Dinner Banquet are charged $75 per person.

Registration Form:

Name (Last, First, MI)(required)

Street Address(required)

City(required)

State(required)

Zip Code(required)

Country(required)

Email (Your receipt will be emailed to you.)(required)

Phone(required)

Year of Graduation(required)

Total Payment (Add the amounts in Bill #1, Bill #2, and Bill #3)(required)

For those bringing guests to the Welcome Reception, please list down the name and age of each guest. If not bringing one, please type in "NA" for not applicable. Note: Age 2 and under are free. Ages 3-10 have 50% discount ($32.50). Ages 11 and up are full price of $65. Please make the necessary adjustment when you enter your Total Payment above.(required)

For those bringing guests to the Dinner Program, please list down the name and age of each guest. If not bringing one, please type in "NA" for not applicable. Note: Age 2 and under are free. Ages 3-10 have 50% discount ($37.50). Ages 11 and up are full price of $75. Please make the necessary adjustment when you enter your Total Payment above.(required)

Paying by Credit or Debit Card

If paying by credit or debit card, please click on the link to PayPal. You will need to enter the Total Payment indicated above.

Paying by Check

If paying by check, please write a check for the Total Payment indicated above payable to USAPMTIAA. Your registration will be processed once check is received. Please mail the check to:

Ms. Ednie A Mckeehan
USAPMTIAA Treasurer
PO Box 270240
Saint Louis, MO 63127
USA

Thank you for registering for the Second Biennial Meeting and Reunion in New York. See you there!

Note: USAPMTIAA is a 501(c)3 non-profit organization. Any donation you send to USAPMTIAA is tax-deductible. Please consult your accountant.