Associate Membership Application

Associate memberships are available to commercial firms selling products or services to TBA member institutions. Annual associate dues will be $1100, prorated to $550 after June 15. Associate membership does not constitute an endorsement by the TBA of the associate’s product or service nor does it authorize use of the Association’s name or logo for marketing purposes.

Application Type(Required)

New Membership

Renew Membership

Update Membership Details

Company Name

Category / Contact Information

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

Main Contact Name

Main Contact Email

Add Additional Categories and Contacts

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. 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

Additional Contacts:

Contact Name

Contact Email

Address

Additional Categories:

Additional Category

Description

Dues/Invoicing Contact Information

If different from Main Contact, no additional charge.

Dues Contact Name

Dues Contact Email

Dues Contact Address

Street Address Address Line 2 City State ZIP Code

Marketing Contact Information

If different from Main Contact, no additional charge.

Marketing Contact Name

Marketing Contact Email

Marketing Contact Address

Street Address Address Line 2 City State ZIP Code

Payment

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.

Name of person submitting this form

Submitting person's email

Associate Membership Application

Company Information

Category / Contact Information

Add Additional Categories and Contacts

Dues/Invoicing Contact Information

Marketing Contact Information

Payment

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