Become a Member » Associate Member Application Become an Associate Member of the Pennsylvania Telephone Association. To the Board of Directors: After due consideration of the benefits to be derived through membership in the PENNSYLVANIA TELEPHONE ASSOCIATION, the undersigned hereby makes application for ASSOCIATE Membership, subject to the approval of this application by the Board of Directors of the Association. Annual Dues: $375.00State 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*Title*Work Phone*FaxCellEmail* Website* Contact Options* Directory Contact Meeting Information Friday Report Billing/Invoices Please select the appropriate categories.Representative #2Representative #2 NameTitleWork PhoneFaxCellEmail Website Contact Options Directory Contact Meeting Information Friday Report Billing/Invoices Please select the appropriate categories.Representative #3Representative #3 NameTitleWork PhoneFaxCellEmail Website Contact Options Directory Contact Meeting Information Friday Report Billing/Invoices Please select the appropriate categories.Payment* I will mail a check made payable to Pennsylvania Telephone Association and mail to 30 North Third Street, Suite 780, Harrisburg, PA 17101 I will pay by credit card: Please call PTA at 717-238-8311 Please note that Payment cannot be made online.CommentsThis field is for validation purposes and should be left unchanged.
