ATRA Membership Application

Company Name __________________________________________

Owner's Name ___________________________________________

Contact Name (if not owner) ________________________________

Address ________________________________________________

City, ST Zip _____________________________________________

Phone/Fax Number _______________________________________

E-Mail Address __________________________________________

Web Site _______________________________________________

Type of Business ________________________________________

Specialty _______________________________________________

Comments:

 

Signature ____________________________ Date _____________

Annual dues are $200.  If you would like to join ATRA, you can print this page, fill out the application and send it with a check for your dues to:

ATRA

Attn: Sharon Weil, Treasurer

3400 Second Avenue South

Birmingham, AL 35222

For a special ATRA membership rate, see the May 3 Training Class information on our Upcoming Events page!