Become a Member » Active Membership Application To the Board of Directors: After due consideration of the benefits to be derived through membership in the PENNSYLVANIA TELEPHONE ASSOCIATION, the undersigned, certified by the Pennsylvania Public Utility Commission to provide local exchange telephone service in the Commonwealth of Pennsylvania, hereby makes application for ACTIVE Membership, subject to the approval of this application by the Board of Directors of the Association. *NOTE: Dues are a minimum fee of $8,500.00.State here what you manufacture, sell, or services performed for telephone companies:*(this information is listed in our membership directory and on our website)Company* Address* City, State, Zip* RepresentativesHow many representatives would you like to register?Choose...123You may name up to three (3) representatives.Representative Name* Signature*Title* Work Phone*FaxCellEmail* Website* Contact Options* Directory Contact Meeting Information Friday Report Billing/Invoices Please select the appropriate categories:Representative #2Representative #2 Name Title Work PhoneFaxCellEmail Website Contact Options Directory Contact Meeting Information Friday Report Billing/Invoices Please select the appropriate categories:Representative #3Representative #3 Name Title Work PhoneFaxCellEmail Website Contact Options Directory Contact Meeting Information Friday Report Billing/Invoices Please select the appropriate categories.NameThis field is for validation purposes and should be left unchanged.
