Get Aapm Corporate Relations Council Application

The AAPM Corporate Relations Council Application is an essential document for companies seeking to support the goals and mission of the American Academy of Pain Medicine. This guide provides clear instructions for effectively filling out the application online.

Follow the steps to complete your application smoothly.

1. Click ‘Get Form’ button to access the application form and open it in your document editor.
2. Enter your organization's name in the designated field. This should be the legal name of the company applying.
3. Fill in the designated representative's name, ensuring it is a person who will handle council-related matters.
4. Indicate the representative’s title within the organization for proper identification.
5. Provide the complete address of the organization, including street, city, state, and ZIP code.
6. Input the phone number and fax number for the organization to ensure easy communication.
7. Include a valid email address where the representative can be contacted regarding the application.
8. List the website address (URL) of your organization for reference.
9. Specify the name of the person submitting the application along with the date of submission.
10. If you have additional representatives, attach a document listing their names and contact information as required.
11. Prepare a corporate logo in both .PDF and .EPS formats and a 50-word description of your organization for AAPM’s publications.
12. Select the appropriate payment level for council affiliation and provide the payment method details.
13. If paying by credit card, write the account number, signature, and expiration date clearly.
14. Review all fields for accuracy and completeness. Make any necessary adjustments before proceeding.
15. Save your changes, then download, print, or share the application form as needed.

Submit your completed application online to contribute to advancing patient care.