Online Convention Registration Form

PTAC 2021 Biennial Convention
October 21-24, 2021
Hyatt Regency Grand Cypress, Orlando, FL

Regular Registration Deadline: September 1, 2021

Please fill out this online form to register attendees for convention.  You will need to book your hotel reservations separately.  Contact us if you have more than 3 individuals attending from your group. 


Fields marked with an * are required

Primary Contact Information​

Attendee 1 - Convention Badge Information
Attendee 2 - Convention Badge Information
Attendee 3 - Convention Badge Information