3rd BMR Souvenir Program

Thank you for your interest in our souvenir program. If you would like to sponsor an ad or greeting in our 3rd BMR Souvenir Program, please follow these steps:

Fill up the form below.
Pay either by credit/debit card or by check.
Send your camera-ready Ad or Greetings to Dr. Marlon Torrento via usapmtiaa@yahoo.com.

Souvenir Program Sponsorship Form

Name (Last, First, MI)(required)

Street Address(required)

City (required)

State/Province(required)

Zip Code(required)

Country(required)

Email (Your receipt will be emailed to you.)(required)

Phone (required)

By checking this box, I certify that the above information is correct and represents my pledge of support for the publication of the USAPMTIAA 3rd Biennial Meeting & Reunion (BMR) souvenir program.(required)