2026 APS Attendee Registration

Arkansas Psychiatric Society

Saturday, May 2, 2026
Name of Attendee*
Clinic Name
Clinic Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:*
example@example.com
North Little Rock: Springhill Baptist Health CenterVirtual Attendance
Reservation Purposes

We kindly request your RSVP for an accurate food count for each meal event.
Saturday BreakfastSaturday Lunch
Credit Card/PayPalCheck
APS Physician Member - $85.00APS Virtual Attendance - $60.00Physician Non- Member - $110.00Allied Healthcare Provider - $50.00Spouse/Guest - $60.00Virtual Student/Resident - FreeStudent/Resident - Free
Total Check Amount
Please make checks payable to:

The Arkansas Psychiatric Society

PO Box 55088

Little Rock, AR 72215

THANK YOU!
Product Choices for Card or Paypal
prevnext( X )
APS Physician Member
$85.00 Quantity



APS Virtual Registration
Attend Using a Zoom Link

$60.00 Quantity
Item subtotal:$0.00



Physician Non-Member
$110.00 Quantity



APS Allied Healthcare Provider
$50.00 Quantity



APS Spouse/Guest
$60.00 Quantity



APS Virtual Student/Resident
Attend Using a Zoom Link

$ Free Quantity
Item subtotal:$0.00



APS Student/Resident
$ Free Quantity



Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Arkansas Psychiatric Society