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New Mexico 43rd Annual Conference on Aging - Registration
New Mexico 43rd Annual Conference on Aging
Please provide the following information before proceeding with registration:
First Name:
*
Last Name:
*
Email:
*
Job Title:
Required for TIPS registration
Name of Organization:
Required for TIPS registration
Mailing Address:
*
City:
*
US State:
*
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Zip / Postal Code:
*
Phone:
*
Year of birth:
Do you live alone?
Yes
No
Do you have a caregiver?
Yes
No
Are you a grandparent raising grandchildren?
Yes
No
Are you registering for Social Work CEUs?
Yes
No
Do you need an accommodation?
Yes
No
If so, what type:
Select your ticket. Once you complete the registration process, you will be redirected to PayPal's secure payment page for fee-based tickets:
Required Ticket
*
You must select one ticket from this section before continuing.
Price
Training of Innovative Possibilities to Serve Seniors (TIPS) only (New Mexico Resident)
Free
Training of Innovative Possibilities to Serve Seniors (TIPS) + Full Conference (New Mexico Resident)
Free
Full Conference only (New Mexico Resident)
Free
Training of Innovative Possibilities to Serve Seniors (TIPS) only (Non-New Mexico Resident)
$25
Training of Innovative Possibilities to Serve Seniors (TIPS) + Full Conference (Non-New Mexico Resident)
$25
Full Conference only (Non-New Mexico Resident)
$25
Promotional Code:
Calculate Prices
Total:
0
*
required