Stronger Together 2021 - Registration

Registration Form

Is your organization an affiliate member? If you're not a member, but would like to join the conference at a discounted rate, please go to www.4ami.org/membership. For conference schedule, click here. Please provide the following information before proceeding with registration:

First Name: *

Last Name: *

Email: *

Company: *

Job Title:

Address: *

City: *

Country:

State or Province:

Zip / Postal Code: *

Are you currently an affiliate member of the Area Agencies on Aging Association? *

Yes

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
Member & Affiliate Rate Two Day	1	$180
Member & Affiliate Rate One Day for June 15th	1	$90
Member & Affiliate Rate One Day for June 16th	1	$90
Non-Member Rate Two Day	1	$210
Non-Member Rate One Day for June 15th	1	$105
Non-Member Rate One Day for June 16th	1	$105
Current MSAC Member Two Day Rate	1	$100
Current MSAC Member One Day for June 15th	1	$50
Current MSAC Member One Day for June 16th	1	$50

NOTE: You are purchasing a group ticket. Please complete this form on behalf of an attendee and then provide an alternate email below for receiving the group coupon.

Total: 0

* required