Thank you for registering to attend the AAKP National Patient Meeting in St. Petersburg, FL (June 8-10, 2018). Please take a few moments to complete the information below, this allows AAKP to finalize your registration. Please contact AAKP at (800) 749-2257 with any questions. 

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* 1. Address

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* 2. Please share your race/ethnicity:

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* 3. Please select what best describes you:

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* 4. Are you a first-time meeting attendee?

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* 5. Will you require in-center dialysis during the meeting?

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* 6. Will you be shipping Home Hemodialysis or Peritoneal Dialysis supplies to the hotel?

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* 7. Do you have any of the following risk-factors and/or co-morbid conditions for kidney disease? (Please select all that apply)

Please complete the last two questions which indicate your Lunch with the Expert table choices. Tables are assigned on a first-come, first-reserved basis. Should your table choices not be available, an AAKP staff personnel will contact you to select another table.

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* 8. Please select your top three Lunch with the Expert table topics (Friday, June 8)

  Friday - Lunch with the Experts
Table Choice 1
Table Choice 2
Table Choice 3

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* 9. Please select your top three Lunch with the Expert table topics (Saturday, June 9)

  Saturday - Lunch with the Experts
Table Choice 1
Table Choice 2
Table Choice 3

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