2019 Northeast PT Symposium

We are looking forward to this day and half symposium.  You may register up to 2 attendees on this form.  If you wish to register 3 or more, please contact jim@libertysquaregroup.com for more information on corporate discounts.

Rooms available at the Hilton for a special meeting price of $139 until March 30th.

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

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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, which track do you plan to attend? *  
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REGISTERING MORE THAN ONE PERSON......If registering more than one, complete below for second registration.
First Name (Second Attendee)
Last Name (Second Attendee)
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?  

Office Notes

Payment options

Indicate amount of registrations in quantity.
Friday Only: APTA Member Quantity: Cost: $100.00
Friday Only: Non Member Quantity: Cost: $150.00
Saturday only: APTA Member Quantity: Cost: $225.00
Saturday Only: Non Member Quantity: Cost: $325.00
Both days: APTA Member Quantity: Cost: $299.00
Both days: 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:*   

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If paying by check:

CTAPTA
PO Box 459
Tolland, CT 06084



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