Podiatric Physician MEETING REGISTRATION FORM Use this form to register for The National, or register online at www.apma.org/thenational. The meeting is being provided in-person only. ABOUT YOUR INFORMATION All correspondence concerning The National originating from APMA or supplier vendors who purchase our registrant mailing list will be sent to the address provided below. YOUR INFORMATION APMA Member Number Last Name Formal First Name Nickname (or First Name) for Badge Address City/State or Province/Country Zip Code or Postal Code Daytime Phone Cell Phone Email NPI Number (Note: Physicians' NPI numbers are publicly available. APMA collects this information so that it can be used as needed, e.g., to satisfy Open Payment reporting requirements.) Download APMA Engage to stay connected throughout The National with the most up-to-date information and to make the most of your APMA membership yearround! Visit www.apma.org/apmaengage to get started. NON-CECH LUNCH SYMPOSIA These optional events are made possible at no charge, thanks to corporate sponsors. Select a maximum of one lunch per day. Space is limited, so register early for these popular events. THURSDAY / AUGUST 8 Non-CECH Lunch Symposium 1 (Organogenesis) Non-CECH Lunch Symposium 2 (Legally Mine) Non-CECH Lunch Symposium 3 (TBD) FRIDAY / AUGUST 9 Non-CECH Lunch Symposium 1 (Amgen) Non-CECH Lunch Symposium 2 (TBD) SATURDAY / AUGUST 10 Non-CECH Lunch Symposium 1 (TBD) Non-CECH Lunch Symposium 2 (TBD) 12:00-1:00 p.m. 12:00-1:00 p.m. 12:00-1:00 p.m. 12:00-1:00 p.m. 12:00-1:00 p.m. 12:00-1:00 p.m. 12:00-1:00 p.m. Register for the Team APMA 5K Run/Walk by visiting www.apma.org/teamapma. As of 2/23/2024http://www.apma.org/thenational http://www.apma.org/apmaengage http://www.apma.org/teamapma