Hispanic Transit Society II Inc. - Membership Application Form

Hispanic Transit Society II Inc. - Membership Application
Membership Type*

New Member (Transit)- $25.00New Associate (Non-Transit) - $35.00Renewal (Member)Renewal (Associate Member)
Name*

First NameMiddle NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Preferred way to contact

TextCallEmailAny
Address*

Street Address

Apartment

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Division/Department*
Title (Do not abbreviate)*
Date Of Appointment*

MonthDayYear
Pass Number*
Work Location (Do not abbreviate)*
What are your days off?
Upload photo of yourself if you want to share or upload printed application here if you have paper copy.

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Membership Rules
By signing/submitting this application, I agree to abide by the constitution and by-laws that govern the Hispanic Transit Society II Inc. I promise to pay my dues yearly by March 31st. I understand that failure to adhere to the above mentioned will be cause for membership termination.
Once you submit your application, we will be directed to the Membership payment page.

Thank you!
Signature*

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By signing/submitting this application, I agree to abide by the constitution and by-laws that govern the Hispanic Transit Society II Inc. I promise to pay my dues and understand that failure to adhere to the above mentioned will be cause for membership termination.

Membership Type ($1.06 Service Charge Added)

Transit Member

$26.06 Quantity

Associate MemberNon-Transit

$36.06 Quantity

Total

$0.00

Credit Card

Apple Pay

Google Pay

Hispanic Transit Society II Inc. - Membership Application