Top Practices

1. Your Information

Practice Name/Company

First Name

Last Name

2. Billing Address

Billing Address

Billing Address 2

Billing City

Billing Country

Billing Zipcode

3. Payment Method

Card Number

CVC

Top Practices Mastermind Members - $995

First attendee

I want to also purchase tickets for additional Top Practices Mastermind Members - $395 each

Must be from the same practice

Quantity

AAPPM & AENS Members - $1095

First attendee

I want to also purchase tickets for additional AAPPM & AENS Members - $455 each

Must be from the same practice

Quantity

General Registration - $1195

First attendee

I want to also purchase additional General Registration tickets - $475 each

Must be from the same practice

Quantity

Please provide the name, title, and email address for EACH of the additional attendees from your practice in the field below.

We will add them to our attendee list and send out individual confirmation emails. ONLY the below additional attendees will be listed on our attendee list, receive nametags, and meals.

Name, title, and email for ALL additional attendees

SUBMIT

Summit registrations are non-refundable; however, they are transferable. This means you may transfer your registration to another person (in the same price bracket) if you are unable to attend. You may also transfer your ticket purchase to next year provided you inform us before September 3, 2024.