RegistrationFPTA Annual Conference in conjunction with APTA | Oct. 10-11, 2023 | Orlando 2023 FPTA Annual Conference Registration Attendee InformationOrganization Name(Required) Attendee Name(Required)Enter your name as it should appear on the conference registration badge. First Last Suffix/Credentials Job Title(Required) Attendee Email(Required)You will receive your confirmation email here, as well as event communication. Enter Email Confirm Email HiddenBCC: EmailIf you'd like to blind copy an assistant / marketing person for this registration, please enter their email address here. Meal Preference Vegetarian Vegan Gluten-free ADA Accommodations Payment Information2023 FPTA Annual Conference Fee(Required)Please select your ticket type below FPTA Member Rate - $175 NON-Member FPTA Fee - $200 2023 FTLP Graduate Member - $125 Extra Ticket for FPTA Opening ReceptionThese tickets may only be used for a spouse/guest of an FPTA Annual Conference attendee for the Opening Reception only. Price: Qty. Extra TicketsPlease enter a number from 0 to 10.Extra Tickets Subtotal $0.00 HiddenCode Total Amount Due Billing Email(Required)Enter the billing email for invoice receipt. Credit Card(Required) Cardholder Name Card Details CommentsThis field is for validation purposes and should be left unchanged.