* Required Information First name*: Last name*: AAOMS Member ID number: Email address*: Contact the AAOMS Membership Department if you have any questions. What are you most looking forward to at this year’s meeting?: Connecting and networking with other professional staff Anesthesia Assistant Skills Lab Coding Workshops Practice Management and Professional Staff Development sessions Exploring the Exhibit Hall Seeing the Chicago sights! Other (list in field below) If Other: How many annual meetings have you attended in the past?: This is my first meeting 1-2 3-4 5+ If this is your first meeting, what led you to attend the Annual Meeting: My OMS wanted me to attend The location was convenient I wanted to advance my coding knowledge I wanted to improve my anesthesia skills Other (list in field below) If Other: Why did you decide to become an AAOMS Allied Staff member? (select all that apply): To increase participation in the AAOMS Network with colleagues Meeting and course discounts Other (list below) If Other: Please enter the word you see in the image below: AAOMS gratefully acknowledges AAOMS Services, Inc. for its generous support of the allied staff member reception.