2024 APMM Annual Conference Registration Name(Required) First Last Title(Required) Municipality(Required) Cell Phone Number(Required) Email Address(Required) Emergency Contact Name(Required) Emergency Contact Phone Number(Required) Dietary Restrictions/Accessibility Needs Have you ever been to the APMM Annual Conference before? Yes No Are you an APMM Member?(Required) Yes No Are you an APMM Past President?(Required) Yes No Full Conference Full Conference (APMM Member) – $425 Full Conference Full Conference (APMM Past President) – $382.50 Student Registration Student Registration – $150 *In any MPA or MBA programFull Conference Full Conference (Non-Member) – $550 Daily Rate Tuesday Only – $350 Wednesday Only – $150 Guest Price Guest Price – $400 Guest Name First Last The Rise & Fall of Bethlehem Steel Walking Tour (For Registered Attendees) Quantity Price: $65.00 Quantity The 90-minute tour is scheduled for Monday, May 20 beginning at 11:00am Please plan to meet in the hotel lobby by 10:30am. for a 20-minute walk to the Steel Stacks, 711 East 1st Street. The tour is being provided the Historic Bethlehem Museums and Sites which is dedicated to telling stories of Bethlehem’s past and its lasting impact on the community. Lunch will be included in the tour at 1:00pm at The Taste Smokers (additional ten-minute walk). *If there is an accessibility issue, please indicate on the registration form. The tour and golf outing are being held at the same time please choose one.* Guests who attend must be registered. Max attendance: 40.Golf Outing Golf Outing – $175 Monday, May 20 at Riverview Country Club – One Riverview Place, Easton, PA 18040. Golf starts at 11:00am and is a shot gun start. Deadline for golf outing registration is Friday, May 3, 2024. *The tour and golf outing are being held at the same time please choose one.*Names 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, 2024 in order to receive a refund less a $50 admin fee. If I cancel after May 8, 2024, 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 and my failure to comply with any rules related to Covid-19 safety measures, may be grounds for my exclusion from further attendance Total Δ