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FPTA New Member Application

Name

This field is for validation purposes and should be left unchanged.

Member Information

All FPTA memberships are "organization-based." If the organization/company/system holds a membership, any employee also has membership rights.

Member name(Required)

Billing Address(Required)

Street Address Address Line 2 City State/Province ZIP / Postal Code Country

Phone number(Required)

Website URL

Where can other members find more information online?

Contact Information

All FPTA members have (1) designated primary contact employee who will be listed in the online membership directory. Other employees can be added internally by contacting FPTA.

Primary Contact Name(Required)

First Last

Job Title(Required)

Best Contact Phone(Required)

Email(Required)

Billing Email(Required)

This is where renewal notices/receipts should be sent.

Member Type & Payment

Type(Required)

Business Class

Associate

Section 5310/5311

Corporate-Tier 4/Trolley/CTC

Corporate-Tier 3

Corporate-Tier 2

Corporate-Tier 1

FPTA will receive your membership application details and generate an invoice for payment. This invoice will be sent to the billing email address provided.

Operating Budget(Required)

Enter the annual operating budget from the previous fiscal year.

Month of Application(Required)

Select the current month to calculate your dues. The FPTA fiscal/membership year runs October 1-September 30. Pro-rated dues begin in May each year.

Corporate-Tier 4/Trolley/CTC Dues

Price: $0.00

Section 5310/5311 Dues

Price: $0.00

Business Class Dues

Price: $0.00

Associate Dues

Price: $0.00

Credit Card(Required)

Cardholder Name

Card Details