Name

Position/Title

Club/Company

Mailing Address

City

State

Zip

Work Phone

Fax

E-mail

  CLASSIFICATION

Regular Member

  $60   

Educator Member

  $ waived

Honorary Member

  $ waived

PAYMENT METHOD

Please invoice me

Purchase Order Number

I will call the NTA
Office with my
Credit Card Number
(253.219.8360)

TOTAL AMOUNT DUE

$

Please note:  NTA is a 501(c)3 nonprofit corporation.  Membership dues to our association are not tax-deductible as a contribution but may be deducted as a normal business expense.

PAUL RAMSDELL—EXECUTIVE DIRECTOR • 1802 WEATHERSWOOD DR., N.W. • GIG HARBOR, WA 98335 • TEL 253.219.8360
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