APIC – Orange County Chapter » 2025 Fall Conference: Long-Term Care ONLY Registration

OC APIC Annual Conference 2025 - LONG-TERM CARE ONLY Attendee Registration

Name(Required)

First Last

Where do you work?(Required)

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Are you an APIC Chapter member?(Required)

Yes, I am a member of Orange County APIC Chapter

Yes, I am a member of another chapter

Vegetarian Meal Preferred?(Required)

Yes

Email(Required)

Registration and Payment Options(Required)

Long-Term Care Attendee Registration PAYPAL - $80

My company or I will mail a check - $80

Refunds will be offered if requested before September 26, 2025 12:00am PST. Refunds will not be offered thereafter. A Paypal service fee will be applied and cannot be refunded. Checks can be made out to Orange County APIC and mailed to: Carolyn Khong 1 League #61352 Irvine, CA 92602 Checks must be received 10 days from registration date.

If paying for someone else, please type their name here

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