APTA 2021 Sponsorship Form
Univeristy/Institution Sponsorship (USD 1,500)
1. Name of Organization
2. Payment Option
Please choose the method of payment. Receipt with the name of APTA will be issued for both mothods.
Paypal
Bank Tranfer
3. Contact Personnel
Please fill out the information of a person who will be in charge of communication for sponsorship.
Select title
Prof.
Dr.
Ms.
Mr.
4. Free APTA2021 registration for..
Please provide information of a person who will get the free registration benefit for APTA 2021.
Select title
Prof.
Dr.
Ms.
Mr.
5. First person who will get APTA member benefit.
Please provide information of first person who will get APTA member benefit for the fiscal year of 2021.
Select title
Prof.
Dr.
Ms.
Mr.
6. Second person who will get APTA member benefit.
Please provide information of the second person who will get APTA member benefit for the fiscal year of 2021.
Select title
Prof.
Dr.
Ms.
Mr.
Submit
