Conference will be held at University of New England - Portland Campus on April 14th - April 16th.

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* 1. First Name:

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* 2. Last Name:

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* 3. Please enter your APTA Member ID # if known or skip. Enter none if you don't have one. Note: The registration fee is lower for APTA members.

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* 4. Please enter your email address:

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* 5. Please enter your phone number:

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* 6. Registration Fee:  (We are accepting cash or check at the conference or pay now with your card using the links below.  Note: there is a $1.00 charge to pay by card.  Thank you!)

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* 7. Lunch is provided on Saturday. Please choose your choice of sandwich:

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* 8. Which University are you attending?

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