Member's Name _____________________________________________________
Department or Division _______________________________________________
Representing ____________________________________ Title _______________
Mailing Address _____________________________________________________
City ________________________ State ___________________ Zip ___________
Phone __________________ Extension ____________ Fax ___________________
Email __________________
General Membership Dues Associate Member
Governmental $150 $75
Business/Industry $125 $75
General Membership consist of one representative from the tax collecting body or business/industry. All other members are Associate Members.
To join, simply print this invitation/application and fill it out as complete as possible. Make your check payable to the Louisiana Association of Tax Administrators and submit the application and check to:
Louisiana Association of Tax Administrators
c/o Thomas H. O'Neal, Secretary/Treasurer
P. O. Box 160, Vidalia, Louisiana 71373
Phone: (800) 826-2732; Fax: (318) 336-9978