2019 Northeast PT Symposium

We are looking forward to this day and half symposium.  You may register up to 2 attendees on this form.

Rooms available at the Hilton for a special meeting price of $139.  
Call 800-754-7941 and mention Northeast Regional Physical Therapy Summit for the reduced rate.

If you have any questions, please contact us: tamara@libertysquaregroup.com

(* Denotes Required Fields)

Personal Information

First Name *
Last Name *
Email *
If APTA member: State Chapter you belong to: 
Which days do you plan to join us? (Please be sure to check this below in the payment section)  
If attending Saturday only, which track do you plan to attend? 
---------------------------------------------------------------------------------
If registering more than one, complete below for second registration.
First Name
Last Name
Email address
If APTA member: State Chapter you belong to 
Which days do you plan to join us? (Please be sure to check this below in the payment section)  
If attending Saturday only, which track do you plan to attend?  

Payment options

Indicate amount of registrations in quantity. Early Bird Rates end March 1.
Friday Only: Early Bird APTA Member Quantity: Cost: $100.00
Friday Only: Early Bird Non Member Quantity: Cost: $150.00
Saturday only: APTA Member Early Bird Quantity: Cost: $225.00
Saturday Only: Early Bird Non Member Quantity: Cost: $325.00
Both days: Early Bird APTA Member Quantity: Cost: $299.00
Both days: Early Bird Non Member Quantity: Cost: $405.00
Friday: Student Member (limited to 50) Quantity: Cost: $60.00
Saturday: Student Member Quantity: Cost: $60.00
Friday Only: Post graduate member (Resident/ Fellow/ PhD) Quantity: Cost: $75.00
Saturday Only: Post Graduate Member (Resident / Fellow/ PhD) Quantity: Cost: $200.00
Both days: Post Graduate Member (Resident / Fellow/ PhD) Quantity: Cost: $250.00
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 check:

CTAPTA
PO Box 459
Tolland, CT 06084



Sign up to Receive Updates ›  APTA

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