Online Souvenir Program Sponsorship Form

3E91A169-3B7F-48ED-B80D-66D7F6A86FF8Thank you for your interest in our souvenir program.  If you would like to sponsor an ad or greeting in our Third BM&R Souvenir Program, please follow these steps:

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

Souvenir Program Sponsorship Form

Paying by Credit Card

If paying by credit card, please follow the link to PayPal.

Paying by Check

If paying by check, please write a check in the amount of indicated above payable to USAPMTIAA.  Please mail the check to:

Ednie A Mckeehan
USAPMTIAA Treasurer
7645 W Arndt Ct. Laporte, IN 46350

Incentives for Sponsor

Souvenir Ad Incentives

 

Thank you for your interest in supporting our Second Biennial Meeting & Reunion souvenir program.

USAPMTIAA is a 501(c)3 organization.  The donation you send to USAPMTIAA is tax-deductible.  Please consult your accountant.