Sponsorship Sign Up: APTA CT, MA, MN, NH, RI and VT

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Please complete this form if you would like to be notified of upcoming sponsorship opportunities at conferences, golf tournaments, student conclaves and websites. This forms represents the following APTA State Physical Therapy Chapters:

APTA Connecticut

APTA Massachusetts

APTA Minnesota

APTA New Hampshire

APTA Rhode Island

APTA Vermont

Name of Company

Contact Name

Contact Email

Product or Service

Comments

I would like to receive sponsorship information from APTA CT

Yes

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I would like to receive sponsorship information from APTA MA

Yes

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I would like to receive sponsorship information from APTA MN

Yes

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I would like to receive sponsorship information from APTA NH

Yes

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I would like to receive sponsorship information from APTA RI

Yes

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I would like to receive sponsorship information from APTA VT

Yes

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I would like to receive sponsorship information about the Northeast Student Conclave

Yes

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