ATA Membership Application

Supporting the AALAS Community Since 1955
Allied Trade Association for Laboratory Animal Science
If you prefer, you may attach your
business card here.
2015 Membership Application
Company:
Contact:
(Person who should receive Exhibitor Information Package)
Address:
City:
State:
Phone:
Fax:
Zip:
Email:
Please indicate two additional persons who should receive all ATA mailings and notices:

Name:
Mailing Address
(if different from above):
Email:

Name:
Mailing Address
(if different from above):
Email:
Additional contact e-mail addresses for electronic versions of our newsletter and other correspondence:




Name:
Email:
Name:
Email:
Name:
Email:
Name:
Email:
Supporting the AALAS Community Since 1955
Membership is Voluntary
“The mission of the AALAS Allied Trade Association (ATA) is to advance and protect the business
interests of its membership to and for the benefit of the Laboratory Animal Science community”
ATA/AALAS is a non-profit entity and is comprised of exhibitors to the AALAS National Meeting and AALAS
Branch and District Annual meetings. ATA Members receive AALAS booth discounts and advanced booth
registration, using a member/previous showing points system.
ATA/AALAS is concerned with the exhibitors' interests Under Article II of the By-Laws: MEMBERSHIP
Any merchant, manufacturer or dealer who purveys to the Research Laboratory Animal Profession shall
be eligible for membership. Only one membership shall be accorded any one company or division.
For additional ATA membership information please contact:
Patricia Sikes - [email protected] // Valeri Lansford - [email protected] // or go to www.go2ata.org
Annual Dues for 2015:
$175.00
Make checks payable to:
ATA/AALAS
Mail to:
Bob MacGregor
ATA Treasurer
PO Box 401
Belfast, ME 04915
Credit Card Information
Name on Card:
Billing Address:
City:
State:
Card Type:
Card #:
 VISA
Zip:
MASTERCARD
CIV Code:
For credit card payments please fax this completed form to Bob MacGregor @ (207) 338-2884
For your security this information will be destroyed after transaction is completed.
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