Study Unit Application and Renewal Form

APPLICATION FOR STUDY UNIT AFFILIATION

(This form is also used for Annual Renewal. Annual Membership March 15 – March 14)
Eligibility for Study Unit Affiliation requires your club to have a minimum of ten (10) ATA members, an official set of by-laws and filing an annual report with the ATA.
Study Unit Name:*
Study Unit Website (if available):
Year Organized:
Number of Members:
Title of Newsletter/Publication:
Frequency of Publication:

MonthlyBimonthlyQuarterlyOther
Annual Dues: US / International / Electronic (if applicable)
Study Unit Services Include:
STUDY UNIT OFFICERS (include Name, Email, and Mailing Address)
President's Name:
President's Email:
example@example.com
President's Mailing Address:
Secretary's Name:
Secretary's Email:
example@example.com
Secretary's Mailing Address:
Treasurer's Name:
Treasurer's Email:
example@example.com
Treasurer's Mailing Address:
Newsletter Editor's Name:
Newsletter Editor's Email:
example@example.com
Newsletter Editor's Mailing Address:
Study Unit ATA Representative:*
(Must be an ATA member. Contact will receive emailed ATA correspondence and Annual Renewal form.)
ATA Representative Email:*
example@example.com
ATA Representative Mailing Address:*

Application (and renewal) must include the names of ten club members who belong to ATA.
ATA/CLUB MEMBER NAMES

(Include ATA Member #, if known)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Additional comments or information (optional)
Upload A Copy of Your Unit's By-Laws

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The club agrees to submit to the ATA Study Unit Coordinator:

1) Electronic or mailed copies of its official publication so that it can be reviewed in the "Units in Action" column in Topical Time.

2) An annual renewal/report.

IGOR GRIGORIAN, ATA STUDY UNIT COORDINATOR
2764 Delevan Dr
Los Angeles, CA 90065-5134 USA
Email: StudyUnits@americantopical.org
ATA Affiliated Study Units are encouraged to:

• Promote ATA membership among its members (in study unit publication and on website).

• Publicize ATA publications such as handbooks, DVDs, checklists and Topical Time Archives.

• Participate in Stamping Ground by having a group for their unit.
Submission Date:*

MonthDayYear
Date
American Topical Association
P.O. Box 2143 • Greer, SC 29652-2143
www.AmericanTopical.org

ata@americantopical.org
Form Version 2-27-2026
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