2026 Board Review Course Registration Form
Please use this form to also purchase recordings - Recordings should be available by July 30th from the board review course hub.
Name
First Name
Last Name
E-mail
example@example.com
Are you an ACP Member?
Yes
No
ACP Member Number (Required to receive ACP member pricing)
What state are you in?
Registration
Please note - if you are registering an entire program, please select the quantity below and email us the attendee list to liz@aminc.org.
Registration Levels
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( X )
ACP Member - New Graduate
Since July 2025
$100.00
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Item subtotal:
$0.00
$
0.00
Non-Member: New Graduate
Since July 2025
$200.00
$
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
ACP Member
$300.00
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Non-Member
$450.00
$
450.00
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
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