Friends of APTA RI Sponsorship 2020

Annual Meeting 

November 19, 2020

Held virtually.

Thank you for your support of APTA RI.

***Please note:  you may not receive  a confirmation email.  Please use the closing page after you clikc Submit  as your confirmation***

(* Denotes Required Fields)

Personal Information

Contact Name Email address * Name of Company: *

Payment options

Friend of APTA RI $100 Quantity: Cost: $100.00 Friend of APTA RI $250 Quantity: Cost: $250.00

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:

---

Enter the code shown above. *
 Change Image