New Mexico Academy of Family Physicians Attendee Registration

Register today and join us to earn up to 21.00 Prescribed credits!

Select Your Registration Type

Name *

First

Last

Designation *

AAFP ID Number *

7 digit number

AAFP ID Number

7 digit number

Layout

Email *

Email

Confirm Email

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Would you like to sponsor a student?

Yes, I do! - $75.00

Your registration includes complimentary breakfast, lunch, and snacks all three days, plus one free adult dinner ticket for the special Thursday and Friday dinners. In an effort to reduce food waste, please select the appropriate responses below.

Your registration includes one free adult dinner ticket for Thursday and Friday. If you do not plan on attending the dinner(s), please choose the appropriate response below to help us reduce food waste.

Which days do you plan on joining us for breakfast? *

Thursday
Friday
Saturday
I will eat on my own

Which days do you plan on joining us for lunch? *

Thursday
Friday
Saturday
I will eat on my own

Would you like free dinner tickets? *

I will join on Thursday. Please reserve me a ticket.
I will join on Friday. Please reserve me a ticket.
I am unable to join, do not provide me with any tickets.

Attend the Friday Dinner

I will attend. Please provide me with a free meal ticket.
I am not able to attend.

Do you need to purchase additional dinner meal tickets for family members? Children 5 and under are free. *

Yes
No

Thursday Welcome Dinner - Adult $50

Thursday Welcome Dinner - Child (6-12) $25

Friday Awards Dinner - Adult $55

Friday Awards Dinner - Child (6-12) $30

Total

$0.00

Your registration is finalized once you complete payment after submitting this form. Any unpaid balance will be due when you check in at registration.