Networking Event Registration Date: Wednesday, December 9, 2020 Time: 5:30 - 7:30pm 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 ($25)First-Time Guest ($0)Returning Guest ($35)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 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 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
