IATR - ASSOCIATE MEMBERSHIP REGISTRATION FORM
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Last Name:
Organization Name:
Your Position:
Other Owner Director Elected Representative Contract Manager Consultant Sponsor Other
If representative trade body, number of active, dues paying members:
Please Select 1 - 50 51 - 100 101 - 200 201 - 500 500 +
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Organization’s Mission and Goals
Issues of Importance
What are your reasons for seeking membership in the IATR?
Would you be representing your organization, or joining independently?
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Were interested in what you do! (Optional Fields) *
Industry
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*2009 Conference - New York City - Sept. 12 - 16
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