Ref: 11/14/2007 07:01:18 PM


Thank you!

 

The information below has been submitted to AATA's Admin Office.  Please print a copy for your records.
 

bulletIf paying by check, please mail a copy of this form with payment to the address listed below.
 
bulletIf paying by credit card, then click on CONTINUE to enter your credit card details on our
secure server.
 
bulletIf paying by bank wire, please CLICK HERE to request that bank wire details be
forwarded to you.  For security reasons, this information is not maintained on-line.

The AATA Admin Office will acknowledge receipt of your application via email or fax. 
Any questions, please contact the AATA International Office in Houston at:

AATA
111 East Loop North
Houston, TX  77029 USA
info @ aata-animaltransport.org
Tel: +1 713-532-2166 / Fax: +1 713-532-2177

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
AATA COMPANY MEMBERSHIP APPLICATION:

Payment Method PaymentMethod

Referred by:

Referred_By Referred_By_Other 

AATA Member Reference:

AATA_Member_Reference 

Membership Category:

Membership_Category 

Organization:

Organization

Primary Contact Name: Prefix1 first_name1 middlename1 lastname1

Nickname:

nickname1

Department: department1

Title:

title1     

Address:

address1_1

 

address2_1

 

city1, state1  zip1  country1

Phone:

+countrycode1 phone1

Fax:

+countrycode1 fax1

Other Phone Numbers:

phone_numbers1

Email:

email1

Website:

Website1

Business Description:

BusinessDescription

Primary type of Business:

business1 business2 business3 business4 business5 business6 business7 business8 business9 business10 business11 business12 business13 business14 business15 business16 business17 business18 business19 business20 business21 business22 business23 business24 business25 business26 business27 business28 business29 business30 business31

Species:

species1 species2 species3 species4 species5 species6 species7 species8 species9

 

 

#2 Contact Name: Prefix2 first_name2 middlename2 lastname2

Nickname:

nickname2

Department: department2

Title:

title2     

Address:

address1_2

 

address2_2

 

city2, state2  zip2  country2

Phone:

+countrycode2 phone2

Fax:

+countrycode2 fax2

Other Phone Numbers:

phone_numbers2

Email:

email2

Website:

Website2

 

 

#3 Contact Name: Prefix3 first_name3 middlename3 lastname3

Nickname:

nickname3

Department: department3

Title:

title3     

Address:

address1_3

 

address2_3

 

city3, state3  zip3  country3

Phone:

+countrycode3 phone3

Fax:

+countrycode3 fax3

Other Phone Numbers:

phone_numbers3

Email:

email3

Website:

Website3

 

 

#4 Contact Name: Prefix4 first_name4 middlename4 lastname4

Nickname:

nickname4

Department: department4

Title:

title4     

Address:

address1_4

 

address2_4

 

city4, state4  zip4  country4

Phone:

+countrycode4 phone4

Fax:

+countrycode4 fax4

Other Phone Numbers:

phone_numbers4

Email:

email4

Website:

Website4

 

 

#5 Contact Name: Prefix5 first_name5 middlename5 lastname5

Nickname:

nickname5

Department: department5

Title:

title5     

Address:

address1_5

 

address2_5

 

city5, state5  zip5  country5

Phone:

+countrycode5 phone5

Fax:

+countrycode5 fax5

Other Phone Numbers:

phone_numbers5

Email:

email5

Website:

Website5

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____________________________________________________________________
Animal Transportation Association (AATA)
111 East Loop North   Houston, Texas 77029 USA
 Tel: +1 713.532.2177     Fax: +1 713.532.2166    
info@aata-animaltransport.org

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