Annual Dues:
Active - $30 (one
year), $55 (two years) and $80 (three years)
Associate -- $30 (one
year)
Name _____________________
_______________________________________________________
Home Address, including ZIP Code
___________________________________________________
Telephone _______________________
E-Mail Address _________________________________
Business Address, including ZIP Code
________________________________________________
Telephone _______________________
E-Mail Address ________________________________
Please review the Membership Qualifications and Professional Standards section and select
one or more of the following membership categories that would make
you eligible for membership:
___ Newspaper ___ Radio
___Television ___
Magazine
___ Photography
___Newsletter ___News Release
___Movie
___ Book
___Electronic
___Audiocassette
___Videocassette
In the past 12 months I have sold material to
__________________________________________
_________________________________________________________________________________
Member of SEOPA?
_______ OWAA?
_______ Other organizations?
__________________
Applicant’s Signature
_____________________________________________
Send your completed
application and payment for dues to:
Max Moss
TOWA Secretary/Treasurer
105 Creekview Drive,
Pleasant View, TN 37146
I attest by my
signature that the above information is true and that no information bearing
upon my application or classification has been withheld.
*************
Date Received
________________
Approved By ________________
Date Approved ________________