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AAPI GHS
REGISTRATION
PROGRAM
POST-SUMMIT
SPONSORSHIP
SOUVENIR
AAPI GHS
Main Menu
REGISTRATION
PROGRAM
POST-SUMMIT
SPONSORSHIP
SOUVENIR
Half page $500
Full page $1,000
Centerfold $2,500
Back inside cover $1,500
Front inside cover $2,500
Back cover: $5,000
Name of the Company
(Required)
Primary Contact
(Required)
First
Last
Email
(Required)
Phone
(Required)
Billing Address
(Required)
City
(Required)
State
(Required)
Zip
(Required)
Paying By
(Required)
Check
Credit Card
Ad Seletion
(Required)
Back Cover
Front Inside Cover
Back Inside Cover
Center Fold
Full Page
Half Page
Total
Credit Card
(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Security Code
Cardholder Name
Payments:
Checks written to
American Association of Physicians of Indian Origin
Mailing Address
AAPI office 600 Enterprise Dr., Ste. 108 Oak Brook, IL 60523
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