2020 Regional Virtual Conference: Attendees

This conference is a four state Physical Therapy chapter collaboration.  This collaboration allows us to offer more presentations and to register more attendees.

This conference will launch on November 7, 2020 with real time presentations.  The conference will be recorded and offered until January 31, 2021. 

One week prior to the launch date, you will receive instructions to log into our Virtual Conference event site.  You will need to set up a password (your email) and password.

***An immediate confirmation email won't be sent.  Please use the closing page as your confirmation. 

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Contact Information

First Name * Last Name * Email * I'm a  PT PTA Student I'm an *   APTA CT member APTA MA Member APTA NH Member APTA RI Member APTA Member of another state chapter Not an APTA member

Payment

If you need to register multiple attendees using one payment method, please contact Tamara at 2020conferencePT@libertysquaregroup.com for a different process. Please complete Quantity section. APTA Member Quantity: Cost: $25.00 Non Member Quantity: Cost: $40.00 Student APTA Member Quantity: Cost: $5.00 Student Non Member Quantity: Cost: $10.00

Please select your payment method:*   Credit Card    Check

Credit Card Payment Information

(All credit card information must be filled out completely to make a payment.) Amount: Card Type: American ExpressDiscoverMaster CardVisa Card Number: Name on Card: Verification #: Expiration Date: (MM/YYYY) Billing Address: City   State   Zip:

Amount:

Make check payable to 

APTA NH

PO Box 459

Tolland, CT 06084

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