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left-591820PTRA Membership Application and Change Form Date:__/__/2020Membership (January 1, 2020 – December 31, 2020)Contact InformationFull Name:LastFirstM.anization: Job Title:Address:Street AddressCityStateZIP CodePhone: Email:Referred by:?Check here if you would like to serve on a PTRA CommitteeCorporate InformationFor Corporate Memberships, please list all members and email addresses:Name:Email: Title: Name:Email:Title: Name:Email:Title: Name:Email:Title: Name:Email:Title: Name:Email:Title: PTRA has several membership categories, choose the one that best fits you:?Professional Member ($100 per individual)?Corporate Membership* ($100 per person, maximum $300) ?Student Member (No fee)*Please note, the Corporate membership is $100 for each individual up to 3 members; there is no additional charge for the 4th member and beyondPayment using PayPal: by mail: Please make your check or money order payable to PTRA and return to:PTRAP.O. Box 22382Pittsburgh, PA 15222-2382The PTRA appreciates your continued support! We look forward to providing you with important compensation information, including breakfast meetings, WorldatWork certification courses and opportunities for networking! ................
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