Convention 2023 Registration

- Register today for the 2023 AOFP Convention!
  
  The form below can be used to register if you are paying by credit card or e-check. If you need to pay with a hard copy check, please click here to download and print a registration form.
  
  Please note: Registration through this form does not include lodging. You must book your accommodations directly with Drury Plaza Hotel St. Louis at the Arch (see right or your registration confirmation email for details).
- Registration
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Contact Information
  
  Information needed for registration and the Convention Roster, so please use the address, email address, and phone number you wish published on the Roster.
  
  Prefix
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Suffix Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address 1 REQUIRED Please fill out this field. Please enter valid data.
  
  Address 2 Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State/Province REQUIRED Please fill out this field. Please enter valid data.
  
  Country REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Organization
  
  Organization REQUIRED Please fill out this field.
  
  Organization Name REQUIRED Please fill out this field. Please enter valid data.
  
  Role REQUIRED Please fill out this field. Please enter valid data.
  
  Designated Representative REQUIRED Please fill out this field.
  
  Group Registration
  
  Please use the below Group Registration section to register any additional convention attendees.
  
  Group Registration REQUIRED
  If you need to register anyone other than yourself, please enter the additional number of those attending and provide their information.
  Please fill out this field.
  
  Convention Attendee 1
  
  Prefix REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address 1 REQUIRED Please fill out this field. Please enter valid data.
  
  Address 2 Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State/Province REQUIRED Please fill out this field. Please enter valid data.
  
  Country REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Convention Attendee 2
  
  Prefix REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address 1 REQUIRED Please fill out this field. Please enter valid data.
  
  Address 2 Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State/Province REQUIRED Please fill out this field. Please enter valid data.
  
  Country REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Convention Attendee 3
  
  Prefix REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address 1 REQUIRED Please fill out this field. Please enter valid data.
  
  Address 2 Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State/Province REQUIRED Please fill out this field. Please enter valid data.
  
  Country REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Convention Attendee 4
  
  Prefix REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address 1 REQUIRED Please fill out this field. Please enter valid data.
  
  Address 2 Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State/Province REQUIRED Please fill out this field. Please enter valid data.
  
  Country REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Exhibitors
  
  Exhibitor fees for non-members are in addition to registration fees. If you, as a non-member, will be attending the convention, you will need to pay the exhibitor fee and the $1,050 non-member rate for each person attending.
  
  Name of Exhibiting Organization Please enter valid data.
  
  Exhibitor Fee 0.0 – Member or Partnering Organization 900.0 – Non-Member
  
  Payment
  
  Registration Fee REQUIRED 1070.0 – Member 1370.0 – Non-Member Please fill out this field.
  
  Number in Group REQUIRED Please fill out this field. Please enter an integer (number).
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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- Convention Costs
  
  Members: $1,070
  Non-Members: $1,370
  
  Exhibitor Fee:
  Members: Free
  Non-Members: $900*
  
  *Exhibitor fees for non-members are in addition to registration fees. If you, as a non-member, will be attending the convention, you will need to pay the exhibitor fee and the $1,370 non-member rate for each person attending.
- Lodging
  
  Drury Plaza Hotel St. Louis at the Arch
  2 South 4th Street
  St. Louis, MO 63102
  314-231-3003
  
  $141 per night + taxes and fees
  
  Click here to book online.
  
  Book via phone at 1-800-325-0720 and use group code 10008521