ATAF Sponsorship Registration
Please complete the following information for the ATAF Sponsorship
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Company Name *
Contact Person *
Contact Phone Number *
Contact email *
City, State, and Zip *
Website *
Sponsorship Level (Please check one) *
Sponsorship confirmation is finalized when payment is made in full.  This agreement is for the 2023 calendar year beginning immediately and concludes December 31, 2023.

Please send payment to the following address and make check payable to “ATAF”.  If you prefer to pay electronically, please email for instructions.

Attn: Micki Cuppett, EdD, LAT, ATC
PO Box 340654
Tampa, FL 33694

Company Representative Signature *
Date *
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