2023 APMM Annual Conference Registration 2023 APMM Annual Conference Registration Name(Required) First Last Title(Required) Municipality(Required) Email Address(Required) Emergency Contact Name(Required) Emergency Contact Phone Number(Required) Dietary Restrictions/Accessibility Needs Are you an APMM Member?(Required) Yes No Full Conference Full Conference (APMM Member) - $400 Full Conference Full Conference (Non-Member) - $500 Daily Rate Tuesday Only - $300 Wednesday Only - $150 Guest Price Guest Price - $400 Guest Name First Last Mobile Tour of the Andy Warhol Museum & Buffet Lunch (For Registered Attendee) Mobile Tour of the Andy Warhol Museum & Buffet Lunch - $60 Monday, May 22 - Tour will begin at 12:00 p.m. followed by a late lunch at 2:00 p.m. at Southern Tier Brewery (including two drink tickets)Mobile Tour of the Andy Warhol Museum & Buffet Lunch (For Guest) Mobile Tour of the Andy Warhol Museum & Buffet Lunch - $60 Monday, May 22 - Tour will begin at 12:00 p.m. followed by a late lunch at 2:00 p.m. at Southern Tier Brewery (including two drink tickets)Mixer at PNC Park - Pirates Game (For Registered Attendee - APMM Member) Mixer at PNC Park - Pirates Game (For Registered Attendee) - $35 Tuesday evening, May 23Mixer at PNC Park - Pirates Game (For Non-Members & Guests) Quantity Price: $75.00 Quantity Tuesday evening, May 23Student Registration Student Registration - $150 *In any MPA or MBA programGolf Outing Golf Outing - $175 Monday, May 22 at Cranberry Highlands Golf CourseNames of Requested Foursome Golf Group (separate names by comma) Terms & Conditions(Required) Payment must be made in full 15 days before the start of the event. I understand I can cancel my registration up until May 8, 2023 in order to receive a refund less a $50 admin fee. If I cancel after May 8, 2023, I will not receive a refund regardless of the reason for cancellation. APMM sponsored events are held in compliance with all local, state, and federal rules regarding Covid-19 safety measures, including mask wearing and social distancing, that are in effect at the time of the event. Additionally, APMM sponsored events follow the rules of the facility where the event is held, including, but not limited to, Covid-19 safety measures required of all patrons of the facility. APMM will advise event attendees of the applicable rules relating to Covid-19 safety measures. By checking this box, I agree to abide by all local, state, and federal rules regarding Covid-19 safety measures, as well as the facility’s rules. Further, I represent: (1) I am fully vaccinated against Covid-19 (as defined by the Centers for Disease Control) or, (2) I will wear a mask at all public activities during the APMM sponsored event if I am not fully vaccinated. I understand and agree that my failure to comply with any rules related to Covid-19 safety measures, or my failure to wear a mask at all public activities during the APMM sponsored event, may be grounds for my exclusion from further attendance at the event. Total Δ