APPLICATION FOR ASSOCIATE MEMBERSHIP
Company Name _____________________________
Web Site__________________________
Would your company like a FREE direct link to TTA's Web site? ___ Yes ___No
Primary Contact
Name
______________________________________
Title ______________________________
Mailing
Address______________________________
City/State/Zip_______________________
Street
Address_______________________________
City/State/Zip_______________________
Phone
___________________
Fax ______________
E-Mail_____________________________
Additional Contact(s)
Name
______________________________________
Title ______________________________
Mailing
Address______________________________
City/State/Zip_______________________
Street
Address_______________________________
City/State/Zip_______________________
Phone
___________________
Fax ______________
E-Mail_____________________________
Name ______________________________________ Title
______________________________
Mailing
Address______________________________
City/State/Zip_______________________
Street
Address_______________________________
City/State/Zip_______________________
Phone
____________________
Fax ______________
E-Mail____________________________
Please indicate the three (3)
principle services or products your company provides to the telecommunications
industry.
|
q Access Services |
q Accounting |
q Advertising |
|
q Billing & Collection |
q Broadband Transmission Systems |
q Brokers |
|
q Business Appraisers |
q Cable TV |
q Carrier Equipment |
|
q Cellular |
q Central Office Equipment |
q Centrex Systems |
|
q CLEC |
q Communications Equipment |
q Computer Hardware |
|
q Computer Software |
q Conference Calling Services |
q Construction |
|
q Consulting |
q Data Processing |
q Database Management |
|
q Direct Broadcast |
q Directory Publisher |
q Distributor |
|
q EF&I Services |
q Engineering |
q Fiber Optic |
|
q Financial |
q Information Management |
q Insurance |
|
q Inter-exchange |
q Internet |
q ISDN Products |
|
q Legal/Regulatory |
q Manufacturer's Representative |
q Mapping |
|
q Marketing/Public Relations |
q Mobile Communications |
q Network Design/Construction |
|
q Paging Systems |
q Pay Telephones |
q Personal Communication Services |
|
q Prepaid Calling |
q Printing/Publishing |
q Protective Equipment |
|
q Safety Tape/Markers |
q Satellite TV |
q Telemarketing |
|
q Test Equipment |
q Training/Educational |
q Video Conferencing |
|
q Voice Mail Messaging |
q Wireless Communications |
q
Other
____________________________________________________________________________
ASSOCIATE MEMBERSHIP CATEGORIES
Associate member
dues are billed on a calendar year basis (January-December) according to
these categories:
___Local (One
corporate location, whether in
___State or National
(Multiple locations operating in
Description of products sold or services
provided (please limit to 25-30 words):
METHOD OF PAYMENT
(Make checks payable
to the
___ Cash ___ Check ___ Visa ___ MasterCard ___ American
Express
(Thanks. We do not currently accept credit cards via this website.)