Associate Membership Application

Please choose a category under which to list your company in the Bankers Directory.

You may choose to add additional contacts for a fee of $150 (prorated to $75 after June 15), within the same MAIN Category. You may choose to add additional categories for a fee of $250 (prorated to $125 after June 15), using the same MAIN Contact. To prevent being overcharged, please do not enter the same person in multiple categories. If you would like a different person’s name as the contact for the ADDITIONAL category, the fee is $400 (prorated to $200 after June 15), and this person would get the same benefits as an ADDITIONAL Contact.

If you have questions, please contact: T’Lanie Luu, Tennessee Bankers Association 615-244-4871 or 800-964-5525

If different from Main Contact, no additional charge.

If different from Main Contact, no additional charge.

NOTE: This form will be used to generate the information for all publication materials used by the Tennessee Bankers Association. It is to be filled out by the proper and authorized contact for your company. A copy of this form will be sent to the TBA, Main Contact, and the person submitting this form. Please complete all the fields for new membership.