APTA 2020 Registration Form

Please submit one form per registrant. If you have any questions regarding the registration process, please contact APTA Assistant Secretary of Administration at APTASecretary.Assist@gmail.com

1. Personal Information

Gender

Female Male

Organization (Will be appeared in your Name Tag)

Country of Residence

Email (this email will be used to communicate with you)

2. Registration Type (Early Bird Registration)
Please check appropriate registration type. Early bird registration is only applicable before May 17, 2020.

APTA Member ($370) Non-member ($470) Non-member Plus (Sponsor) ($370) Full time Student ($250) Spouse ($250)

3. Payment Option (If you are based in KOREA, please check "Bank Transfer")

Paypal Bank Transfer

4. Farewell dinner on July 3.
Please indicate if you will be able to participate in the Farewell Dinner

Yes No

5. Filed Trip on July 4.
Please indicate if you will be joining in the FIELD TRIP on July 4.

Yes No

5. Are you a Vegetarian?
Please indicate if you will be able to participate in the Farewell Dinner

Yes No

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