Registration 2025- AACP Webcast The AACP > Registration 2025- AACP Webcast Webcast Registration Registrant InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact InformationHome PhoneEmail* Registration Type Registration (Full Webcast) - $470.00 Registering for only part of the webcast (Click this button and then select the days attending below) International Attendee (must live outside the United State and Canada) - $120.00 Student Members of The Academy* - $0.00 Perfusion Schools - $0.00 * Must be a Student Member of The Academy. Please join at https://www.theaacp.com/new-membership/Registering for only part of the webcast. Wednesday Registration Only Thursday Registration Only Friday Registration Only Saturday Registration Only You can register for the full webcast or pick and choose which days you will attend. MembershipAnnual dues may be paid for new members, existing members, and Fellow/Senior members. Annual dues are good through December 31st, 2025. Students must submit a student membership application https://www.theaacp.com/new-membership/Pay for Annual Dues at this time Yes, I am an existing member Yes, I am joining as a new member Yes, I am a Fellow/Senior member No Existing Member Annual Member Dues - $155.00 Joining as New Member Annual Member Dues + $25 application fee - $180.00 Fellow/Senior Member Annual Fellow/Senior Member Dues - $180.00 Fireside Chat RegistrationYou will be supplied a separate link for the Fireside Chats so please make your first choice for each session.Fireside Chat Choices for Thursday, February 6thFirst Choice*Team Dynamics (Webcast Only)Future of Our Career (Webcast Only)Not AttendingFireside Chat Choices for Friday, February 7thFirst Choice*Shortage Solutions(Webcast Only)Everything ECMO (Webcast Only)Not AttendingFireside Chat Choices for Saturday, February 8thFirst Choice*Pediatrics (Webcast Only)AI in Perfusion (Webcast Only)Not AttendingTotal $0.00 Note: Fee is non-refundable after January 15, 2025. Δ
