Association for the Promotion of Tourism to Africa

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Associate Members Profile

Company Name:
Name of Contact Person:
Position:
Address:
City:
State/CD:
Zip:
Country Name:
Work Phone:
Toll Free:
Fax Phone:
Email:
Website:
Chapter Affiliation(s):
Referred By:
2010 Associate Membership Dues ______x $50.00
I will be paying by:
Total Dues:
CHECKS PAYABLE TO APTA
Please send to:

Yvette De Vries
Director of Corporate Membership
African Portfolio
146 Sound Beach Avenue
Old Greenwich, CT 06870 USA

WIRE TRANSFERS: (Please add $25.00 to your payment for bank fees)
Bank:
The Suffolk County National Bank
74 Echo Avenue
Miller Place, New York 11764
Phone: 631-474-8400
Account: Association for the Promotion of Tourism to Africa.
Account: # 1320011347
Routing: # 21405464

Thank you for your prompt payment!