The Tennessee Bankers Association

Associate Membership Application
Associate memberships are available to out-of-state banks and to commercial firms selling products or services to TBA member institutions. Annual associate dues are $1,000. Dues are prorated to $500 after July 1. Associate membership does not constitute an endorsement by the TBA of the associate’s product or service nor does it authorize use of the Association’s name or logo for marketing purposes. If you wish to submit a written form, download a PDF version by Clicking Here.

If you have questions, please contact Chris Craig - ccraig@TNBankers.org, Tennessee Bankers Association, 615/244-4871 or 800/964-5525.

*Required fields

*Today's Date (mm/dd/yy)

*Company Name

*Street Address

*City

*State

*Zip Code

PO Box

PO Box City

PO Box State

PO Box Zip Code

Use PO Box for mailing address

YesNo

*Phone Number

Toll-free Phone Number

Fax Number

Company Website

Please choose ONE category under which to list your company in the Bankers Directory.

You may choose to add additional categories for a fee of $200, using the same MAIN Contact. If you would like a different person's name, the fee is $350, and this person would get the same benefits as an ADDITIONAL Contact.
For questions please contact Chris Craig, Tennessee Bankers Association, 615/244-4871 or 800/964-5525.

*Main Category

*Main Contact Name

*Main Contact E-mail

*Description (limit to 1,200 characters)

Additional Category ($200)

Additional Category Contact - Different from the MAIN Contact

YesNo

Additional Category Description (limit to 1,200 characters)

Additional name(s) on mailing list to receive all TBA program mailings, one 12-month subscription to The Tennessee Banker magazine, and both Spring and Fall editions of the Bankers Directory - $150.00 per person. These dues are also prorated to $75 after July 1.

To enter more than one additional contact name please notify Chris Craig, Tennessee Bankers Association, 615/244-4871 or 800/964-5525.

Additional Contact ($150)

Additional Contact E-mail

Additional Contact Address

City

State

Zip Code

Phone Number

Payment must accompany this form before membership status applies.
• Annual associate dues are $1,000. Dues are prorated to $500 after July 1.
• Each additional contact name $150. Dues are prorated to $75 after July 1.
• Each additional category is $200 for the same MAIN contact or $350 for a different category contact person.

For questions please notify Chris Craig, Tennessee Bankers Association, 615/244-4871 or 800/964-5525.

*Total Payment

*Method of Payment

VISAMASTERCARDCheck

Check Number

Please make checks payable to Tennessee Bankers Association

Credit card number

Name as appears on the card

Billing Address

City

State

Zip Code

Send Check Payments & Questions to:

Tennessee Bankers Association
ATTN: Christopher Craig
211 Athens Way, Ste 100
Nashville, TN 37228-1381
Phone: 615/244-4871 or 800/964-5525 Fax: 615/324-1984

NOTE: This form will be used to generate the information for all publication materials used by the Tennessee Bankers Association. It is to be filled out by the proper and authorized contact for your company. A copy of this form will be sent to the TBA, Main Contact, and the person submitting this form. Please complete all the fields for new membership.

*Name of person submitting this form

*Submitting person's E-mail