ASSOCIATE MEMBERSHIP APPLICATION

The General Associate Membership Category is open to non-vendor companies and/or individuals
with an interest in the travel plaza and transportation industry, such as real estate developers,
companies, individuals and/or their clients who are building or plan to build a travel plaza.

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Company Name

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Your Name Title

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Address

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Phone Fax

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Nature of Business Email

We understand that membership in NATSO is on an anniversary basis, and that our dues will be renewable 12 months after we join
the association. The annual membership investment of $840 must accompany this application. $40 of your membership dues goes
toward the production of six issues of Stop Watch Magazine per year. Pursuant to the federal Omnibus Budget Reconciliation Act of
1993, 85.66% of your dues are not tax deductible, as they are used for lobbying purposes. We also understand that acceptance is at
the discretion of the NATSO Board of Directors and their appointed agents and that membership will not be final until confirmed in
writing by NATSO headquarters.

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Signature Date

PAYMENT
General Associate Dues .........$840
Total Amount Enclosed .........$840

Check Enclosed
Credit Card: MasterCard Visa American Express Discover

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Card Number Expiration Date

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Name as it appears on card (Please Print)

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Card Holders Signature Date

PLEASE RETURN THIS COMPLETED FORM TO:

NATSO, Inc., PO Box 758739, Baltimore, MD 21275-8739
If paying by credit card, you may fax your application to (703) 684-4525 to expedite processing.
Questions? Please call NATSOs Membership Department at (703) 739-8573 or email membership@natso.com.