TLA 2021 New Membership Application

Tennessee Lobbyists Association 2021

New Membership Application

To meet our printing deadline, all photo submissions are due on Tuesday, January 5, 2021 and dues payments must be received no later than Friday, January 15, 2021 to be included in the 2021 TLA Directory. Please complete this application and e-mail a current color or black and white photo to tnlobby@associationpartners.com in a .jpeg or .tif format.

First Name *

Middle Name

Last Name *

Organization *

Address *

City *

State *

Zip Code *

Business Phone *

Business Fax

Cell Phone

Email *

Website

Invoice: Please choose one of the below options for TLA Membership Dues. All new members pay a one-time $25 technology fee that is reflected in the dues pricing: *

Option 1- $260: Covers 2021 Membership Dues, PLUS the cost of three meeting events. This is a $30 savings if you pre-pay for your events! Option 2- $200: Covers 2021 Membership Dues only

Payment Options *

I am submitting payment by credit card. (There is a 4% convenience fee using a credit card). I am submitting payment by check

Please Submit Check to:
Tennessee Lobbyists Association
P.O. Box 60128 Nashville, TN 37206

My Products

New Member Dues with Three Member Meetings $ 270.00

New Member Dues only $ 208.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Photos should be submitted electronically as indicated above. Please call the TLA office at 615-254-1233 if you have any questions.