Clone of Alliance of Professional Tattooists Membership Application (Square Subscription)

Alliance of Professional Tattooists Membership Application
Full Name*

First NameLast Name
Business Name*
BUSINESS ADDRESS CANNOT BE THE SAME AS YOUR HOME ADDRESS!
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Website Address
www.mywebsite.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Send mail to (please only select ONE)*

HomeBusiness
Who referred you to the APT?
How did you hear about us?
Additional information and/or documentation may be requested before membership is approved.

BUSINESS ADDRESS CANNOT BE THE SAME AS YOUR HOME ADDRESS!
Your membership will automatically renew each year until you cancel. You will receive a receipt with instructions on how to update your payment method and cancel your subscription.

Membership Category (select only one option)*

Professional Membership($150.00 for each year)

Cosmetic Tattooist($150.00 for each year)

Associate Artist($100.00 for each year)

Associate Non-Artist($75.00 for each year)

Corporate Sponsor($200.00 for each year)

This is for manufacturers/suppliers only. Tattoo studios do not qualify.

Alliance of Professional Tattooists Membership Application