Individual Membership ApplicationA

APTA Individual Membership is open to members of the Travel Agent
community actively selling travel. Non-travel agent applicants should contact the
Executive Board Membership Director for membership clarification.

Application Type: New Member Renewal Member Corrections/Updates

First Name:

Last Name:

CTC CTA MCC ACC DS

Company Name:

Position:

Address:

City:

State/CD:

Zip:

Country Name:

Work Phone:

Toll Free:

Fax Phone:

Email:

Website:

Chapter Affiliation: Arizona Florida Los Angeles Midwest Northeast Northern California Orange County Pacific Northwest Rocky Mountain Sacramento San Diego Southeast Texas

APTA communication will be sent via post, email or fax to you at the above information.
Please contact your chapter when changes occur.
Is the above information?

Home Agency

Please indicate if you would be interested in working as:

Board Member Committee Member

MEMBERSHIP IS SUBJECT TO APPROVAL BY THE APTA BOARD OF DIRECTORS
For questions, contact :
APTA Executive Board Membership
e-mail: individualmembership@apta.biz  | www.APTA.biz