Registration You will be given the opportunity to pay the registration fee by credit card after completing the form. If you choose to pay via another option, please understand that your registration is considered incomplete until payment is received. While we strongly recommend using this online form to register for the conference (doing so helps accuracy and saves us considerable time), there is also a paper version of the form available: Registration Form PDF (Note: To submit the paper version electronically, you must download it and use the Adobe Reader software (free at get.adobe.com/reader) to fill it out. If you fill it out and try to submit it from within a web browser, it will not work.) Personal InformationFirst Name (as on badge)*Last Name*Church/Company/Organization*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country PhoneEmail* Please check ALL that apply: This will be my first AAM Conference I am a new AAM member since the time of the July 2019 Boston Conference I have difficulty walking more than ¼ mile. (Transportation will be provided between venues.) I am a Vegetarian. I am a Vegan. I have other dietary restrictions. I DO NOT want my name included on the list of conference attendees. Note: Each year at our conference, a special reception is held to to welcome new members. Be sure to check the conference schedule for that and do plan to attend!Please state your dietary restrictions:Meals Below, please let us know if there are any Conference meals you will NOT be attending so that we may have an accurate head count. Note: Opting out of an included meal will not reduce your registration fee.I will NOT attend the following meals (choose ALL that apply): Sunday Dinner (St. Stephen's) Monday Lunch (St. Paul's) Tuesday Box Lunch Tuesday Dinner (Upper Shirley Vineyards) Wednesday Box Lunch Wednesday Dinner (All Saints') Thursday Closing Banquet (VFMA) ScholarshipsAAM is eager to make conferences financially possible. Please email Marty Wheeler Burnett, AAM President (email@example.com) to enquire about scholarships. The deadline for Scholarship Application is March 1, 2020.Note: Scholarships do not cover Hotel costs nor Post-Conference activities, only the (main) Conference registration fee.Scholarship Applicant Affirmation Yes, I am applying for a scholarship Registration OptionsConference Registration*AAM Member Early Registration (including spouses, partners, exhibitors, & ALCM members) — $495 (price increases to $575 after 3/1/2020)Non-Member Early Registration — $575 (price increases to $675 after 3/1/2020)I cannot attend the full conference and would like to register for particular daysI can only attend one of the post-conference events.Product NameChoose the days for which you would like to register: Monday Tuesday (including dinner) Tuesday Upper Shirley dinner only Wednesday Thursday (including banquet) Thursday Closing Banquet only Post-Conference Events*Jefferson & Monticello — $120Busch Gardens — $120NoneTOTALTotal $ 0.00 Payment*I will pay now by credit cardI will write a check and mail itMy church/company/institution will write a check and mail itI will be applying for a scholarshipMake checks payable to AAM 2020 Richmond Conference and mail payment to: Sumner Jenkins, Registrar St. Paul's Episcopal Church 605 Clay St Lynchburg, VA 24504 firstname.lastname@example.orgCommentsThis field is for validation purposes and should be left unchanged. 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