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USER NAME (email address)
PASSWORD
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Once completed, simply "click" on the SUBMIT button at the bottom of this form. *Required
Fees:
I would like to pay my membership dues WITHOUT prepaid dinner 2008. (check fees)
I would like to pay my membership dues WITH prepaid dinner 2008. (check fees)
Please include my company URL in my member profile and roster. (check fees)
Payment Info:
Payment Method*:
American Express Visa Mastercard Diners Club I will be paying by check
Please make check payable to "LABTA" and mail with membership application to:
Los Angeles Business Travel Association Attn: Membership 210 N. Glenoaks Blvd., Suite C Burbank, CA 91502
Credit Card Holder Information:
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Last*:
Address*:
City*:
State*: Zip*:
Credit Card #*:
Expiration*:
(MMYY)
V-Code*:
Profile/Contact Info:
Title:
Company:
Address:
City:
State:
Zip:
Phone:
Ext: Fax:
Email Address*:
Create Password*:
Web URL:
http://
Committees:
Corporate Partner
Venues
Legislative
Membership
Newsletter
Orange County Outreach
Program
Education
Public Relations
Hospitality
Community Relations
Trade Show
Website
Account Setting:
Membership Type*:
Allied Direct Honorary Press Retired Student
On Mailing List*?
Not on Mailing List - You will only receive emails related to events that you have RSVP for. On Mailing List - We will keep you updated with our upcoming events.
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Email Format*:
TEXT HTML (Select 'TEXT' if you're not sure)
Account Join Date:
11/20/2008 9:02:38 PM
