TA Complimentary Membership Form

Complimentary TA Membership Form

*Email Address:

*First Name:

*Last Name:

*Best phone number to contact you (cell phone preferred) with area code & extention:

Organization Name:

Title:

Web site:

*Street Address:

*City:

*State:

Province:

*ZIP/Postal Code:

Country:

*How did you hear about TA?

*PROFILE: You are, work for or need information about:

Solution Provider (agent, partner, distibutor, etc. that works directly with end-users) Service/Product Vendor (carrier, reseller, provider, etc. that distibutes to end-users through a "channel") End-User (customer or advocate that purchases solutions & services from providers & vendors) Other

*INTERESTS: Primary solutions, services or products you distribute, vend or use (Why join TA?)

*Required field

Complete this form and click on the confirmation link we'll email you to:

Become a complimentary TA member,
Receive TA email newsletters
Apply to vote in TA's annual "Members Choice" awards

You can edit/cancel your membership or email newsletter subscriptions anytime by clicking the preferences link on the bottom of any TA email newsletter you receive.

IMPORTANT: Your free TA membership and subscription request will not be activated until you click the confirmation link in the email we send you with the subject, " [ACTION REQUIRED] TA Membership Activation Link & TA New Member Welcome" from TelecomAssociation@TelecomAssociation.com after you complete this form. Add this email address to your "Not SPAM/Safe List". If your corporate or email service provider's SPAM filter blocks the confirming email or your TA email newsletters click here for more information.

TA takes your email address privacy seriously and never shares your email address with anyone. All TA email newsletters come from or through TA. Questions? Contact Kathleen Brown at 951-296-3870.