Evening Lecture Series 2019

Single lecture registration

If you would like to register for more than 1 lecture and receive a discount, click here

(* Denotes Required Fields)

Personal Information

Lecture attending: *
Name *
Email *
APTA Member? 
If registering a second person: complete below and remember to put 2 in ticket quantity.
Name
Email
APTA Member? 

Payment options

Member Quantity: Cost: $35.00
Non Member Quantity: Cost: $47.00
Student Quantity: Cost: $10.00
Please select your payment method:*   

Credit Card Payment Information

(All credit card information must be filled out completely to make a payment.)
Amount:
Card Type:
Card Number:
Name on Card:
Verification #:
Expiration Date: (MM/YYYY)
Billing Address:
City   State   Zip:
Amount:
If paying by credit card, you will receive an email confirmation for our processor: Authorize.net.
If paying by check, please submit to 
RIAPTA
PO Box 459
Tolland, CT 06084


 APTA

RIAPTA Liberty Square Group
4 Liberty Sq, #500
Boston, MA 02109
(857) 702 – 9915
riapta@libertysquaregroup.com