Registration Agenda Alaska Municipal Management Association Annual Meeting Complete and submit this form to register for the 2023 Alaska Municipal Management Association Annual Meeting, which will take place December 4-5, 2023, at the Dena’ina Center in Anchorage. "*" indicates required fields Name* First Last Title* Municipality/Organization* Email Address* Phone*Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you an AMMA Member?* Yes No Register for the Alaska Municipal Management Association Annual Meeting - For Members Monday - Tuesday, December 4-5 - $250 Register for the Alaska Municipal Management Association Annual Meeting - For Non-Members Monday - Tuesday, December 4-5 - $275 Total Payment Options* Please invoice me I will pay online with a credit card Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name PhoneThis field is for validation purposes and should be left unchanged. Δ