37th Annual National Convention Orlando, FL August 30 & 31, 2019
Attendee Information
First Name: *
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Last Name: *
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Address: *
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City: *
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State: *
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Zip: *
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Cell Phone: *
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Email: *
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Emergency Contact (Name & Phone Number) *
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Membership Information
AAPT membership is $50/year. Along with other membership benefits, members receive a discounted Convention rate.
Non-member Convention rate is $190 Member Convention rate is $150
These rates increase by $50 after July 15. Registration closes on August 25.
If you would like to become a member, please visit our website at www.pharmacytechnician.com then, return to this registration form to complete your Convention registration.
I am a member of AAPT. *
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What is your AAPT membership expiration date?
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Continuing Pharmacy Technician Education (CPE) Information
The Convention CPE is accredited by the Accreditation Council for Pharmacy Education (ACPE). To process your CPE earned at Convention, we must have your National Association Boards of Pharmacy (NABP) number as well as the Month and Day of your date of birth. Your birth year is not needed.
If you do not have an NABP number, please get your number now. It is a free service and will take you just a few minutes to gain your number on the NABP website at https://nabp.pharmacy/cpe-monitor-service/
What is your NABP Number? *
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What is the MONTH and DAY of your date of birth? *
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About You
Please complete this information to help us understand your background.
My Pharmacy Technician Certification is with: *
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Employment Pharmacy Setting *
How many combined years of pharmacy technician experience do you have? *
Convention Detail
You will receive a 'What to Expect & How to Prepare' Convention informational email approximately 3-weeks prior to the Convention date.
AAPT is not responsible for lost or stolen items. By registering for this event I agree to release and hold harmless AAPT from and against all liabilities. *
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AAPT will text you meeting reminders/start times during Convention. We will also text information to help you prepare for Convention. Please double-check to ensure you gave the correct cell phone number to receive the texts. *
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Photographs/film may be used of you in publications including electronic publication or audiovisual presentations, promotional literature, advertising or in other similar ways. By registering for this event you authorize photo/film release of your image. *
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I understand that I am not registered to attend the convention until the registration fee has been received and processed by AAPT. *
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Refund Policy: Attendees are able to cancel registration & receive a refund less a $25 processing fee before 12-noon on July 15, 2019. Cancellations after this date will not be refunded. A written request for cancellation must be made in attention to Bobbie Craddock at bobbieaapt@gmail.com I have read the refund policy and agree to the terms. *
Required
Questions or Special Needs
Please email nevilleaapt@gmail.com with- special dietary needs or- questions- or other special meeting needs.
Convention Location & Hotel Stay
CONVENTION IS HELD AT ROSEN SHINGLE CREEK ORLANDO, FLORIDA

AAPT ADVISES TO RESERVE YOUR HOTEL ROOM EARLY FOR THE LOW $99 CONVENTION RATE

Rosen Shingle Creek
9939 Universal Blvd, ORLANDA, FL 32819
RESERVE BY PHONE: (866) 996-6338 OR USE THE LINK YOU WILL RECEIVE WITH YOUR CONFIRMATION EMAIL
WWW.ROSENSHINGLECREEK.COM

Payment Information
The Convention rate includes 10 continuing education topics, Exhibitor Hall, Lunch & Snacks

Prior to July 15, 2019 • AAPT Member Rate $150.00
• Nonmember Rate $190.00
• Pharmacy Technician Student $150.00
Fees increase $50 after July 15
Registration closes on August 25
Registrations will not be taken at the door. Registration prior to August 25 is required to attend
HOW TO PAY
Check, Credit Card, Debit, Money Order
A 2.19% surcharge applies to credit and debit card payments.
Please direct payment questions to Bobbie Craddock at bobbieaapt@gmail.com

Please select your payment preference below. Submit this registration after selecting your payment preference. You will receive an email with a link to pay or the mailing address for your payment by check.
Click SUBMIT to process your registration.
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