Annual Meeting Sponsorship 2019

November 7, 2019
Alpine Country Club
251 Pippin Orchard Rd
Cranston, RI

Starting at 5:30pm

Event sponsorship ($150) includes

• social media highlight
• table during cocktail hour to promote your business
• opportunity to donate a raffle basket to promote practice
• logo’s prominently displayed on brochures and tables during the cocktail hour

(* Denotes Required Fields)

Personal Information

Contact Name * Contact Email * Company Name Would you like a table for the cocktail hour to distribute materials?  Yes No

Payment options

Annual Meeting Sponsorship Quantity: Cost: $150.00

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:

To pay by check:

RIAPTA
PO Box 459
Tolland, CT 06084

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