Association for the Promotion of Tourism to Africa

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Corporate / Multi-line Members Profile

Company Name:
Contact Person:
Position:
Address:
City:
State/CD:
Zip:
Country Name:
Work Phone:
Toll Free:
Fax Phone:
Email:
Website:
Chapter Affiliation(s):
Number of years promoting/selling AFRICA:
Company Description for APTA Website:
(50 words or less)
Countries / Products Promoted:
Office Hours:
Travel Industry Affiliations & Memberships:
Referred By:

Corporate Membership Special Offer: September 2010 - December 2011 = $400.00 (+$25 for wire transfers)
Corporate Membership Dues: January - December 2011 = $350.00 (+$25 for wire transfers)
Multi-line Membership Dues: January - December 2011 = $550.00 (+$25 for wire transfers)


I will be paying by:
Total Due:
CHECKS PAYABLE TO APTA

APTA Corporate Membership
Yvette De Vries
Director of Corporate Membership
c/o African Portfolio, 146 Sound Beach Avenue
Old Greenwich, CT 06870 USA
Phone: (203)858-0444
Email: aptacorp@gmail.com


WIRE TRANSFERS: (Please add $25.00 to your payment for bank fees)

Bank: Wachovia Bank, 700 East Dania Beach Blvd , Dania Beach FL 33004
Account Name: Association for the Promotion of Tourism to Africa.
Account Number: 2000058460027
Routing Number: 067006432.
Branch number: Z6046-010

Thank you for your prompt payment!