Networking Event Registration Date: Wednesday, May 12, 2020 Time: 12-1pm Location: The Briarcliff Manor, 25 Studio Hill Rd, Briarcliff Manor, NY 10510 First-time guests are subject to an interview to determine if an industry conflict exists with an RTA member in good standing. Guests are allowed to attend two meetings before deciding whether to apply for RTA membership.Ticket Type*RTA Member - Attending in person ($25)RTA Member - Joining via Zoom ($0)RTA Member - In person prepaid ($0)First-Time Guest - Attending in person ($0)First-Time Guest - Joining via Zoom ($0)Returning Guest - Attending in person ($35)Returning Guest - Joining via Zoom ($0)Name* First Last Company Name*Industry Category*Referral Source*Did an RTA member refer you to the group? If so, who? Otherwise indicate if you found us online or through social media.Email* Newsletter Subscription Please subscribe me to your email newsletter to be notified of future events and RTA announcements.Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Credit Card Billing Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
