PHTA Industry Round Table Registration
Please note, this event will cater to the leaders and decision makers of your company in a Round Table discussion format.  It will not follow a typical trade-show schedule as past Winter Table-Tops. 
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Name *
Company *
Email *
Company Address *
Phone number
Please list any additional company attendees - they will not need to fill-out their own registration. 
Are you a current PHTA member
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