NATA MEMBERSHIP UPGRADE APPLICATION

NATA MEMBERSHIP APPLICATION

The fields marked with * must be completed.

Membership Category*
Category (Check One)	Membership Price	Discounted Price
You are already a member of highest category cannot upgrade
Diamond	$ 25,000	$ 12,500
Platinum	$ 10,000	$ 5,000
Gold	$ 5,000	$ 2,500
Silver	$ 2,500	$ 1,250
Life	$ 100	$ 50
Membership Amount :
Donation towards NATA Community and Charitable Activities:	$
Total amount enclosed:	$
Mode of Payment*	Credit Card
* I understand that membership fee is non-refundable. I declare that I have read the NATA constitution and bylaws (available online at www.nataus.org) including membership rights and responsibilities and hereby affirm to abide by the NATA constitutional rules and policies. “