*December 4, 2023 AMTA Assembly Mtg RSVP Form -due on Sunday, December 3rd by 11pm ET/ 10pm CT / 9pm MT/ 8pm PT
*AMTA Assembly of Delegates Meeting, scheduled for December 4, 2023 - 8-10pm ET
For attendees only, including alternate assembly delegates not seated.

(Seated delegates will receive an emailed panelist link based on regional spreadsheets and should not complete this form.) 
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1. Are you at least one of the following: 1. A professional music therapist; 2. A music therapy student enrolled in an AMTA approved music therapy program? *
(Select only one)
2. Are you an AMTA or AMTAS member? *
(Select only one)
3. If a member, share your AMTA member number: 
4. What is your member type? *
(Select only one)
5. Which AMTA region are you from? *
(select only one)
6. Are you planning to attend the December 4, 2023 Assembly Meeting from 8-10pm ET / 7-9pm CT / 6-8pm MT / 5-7pm PT? *
(select only one)
7. Please provide your first name: *
8. Please provide your last name: *
9. Please provide your email address: *
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