Tennessee Bankers


Associate Membership Application (2018)

Associate memberships are available to commercial firms selling products or services to TBA member institutions. Annual associate dues for 2018 will be $1100, prorated to $550 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 have questions, please contact: Stacey Langford, Tennessee Bankers Association 615-244-4871 | 800-964-5525 | slangford@tnbankers.org.

Company Information

  • Today's Date
  • Company Name
  • Address
  • City
  • State
  • Zip
  • PO Box
  • PO Box City
  • PO Box State
  • PO Box Zip
  • Use PO Box for mailing address?
    Yes
    No
  • Phone Number
  • Phone Number (Toll-Free)
  • Fax Number
  • Website

Category / Contact

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

  • Main Contact Name
  • Main Contact Email
  • Category
  • Description
    Limited to 1200 chars.

Add Additional Categories and Contacts

You may choose to add additional contacts for a fee of $150 (prorated to $75 after July 1), within the same MAIN Category. You may choose to add additional categories for a fee of $250 (prorated to $125 after July 1), using the same MAIN Contact. If you would like a different person’s name as the contact for the ADDITIONAL category, the fee is $400 (prorated to $200 after July 1), and this person would get the same benefits as an ADDITIONAL Contact.

If you have questions, please contact: Stacey Langford, Tennessee Bankers Association 615-244-4871 | 800-964-5525 | slangford@tnbankers.org.

Entered Additional Categories/Contacts

    Add an Additional Contact and Category

    • Contact Name
    • Contact Email
    • Category
    • Description
      Limited to 1200 chars.

    Add an Additional Category

    • Category
    • Description
      Limited to 1200 chars.

    Add an Additional Contact

    • Contact Name
    • Contact Email
    • Address

    Dues/Invoicing Contact Information

    If different from Main Contact, no additional charge.

    • Name
    • Address
    • City
    • State
    • Zip
    • Email

    Marketing Contact Information

    If different from Main Contact, no additional charge.

    • Name
    • Address
    • City
    • State
    • Zip
    • Email

    Payment

    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
    • Total
    • Payment Method
      Credit Card / Online (MasterCard/Visa only)
      Check / Mail

    Payment must accompany this form before membership status applies.

    Payment must accompany this form before membership status applies.

    Send Check Payments & Questions to:
    Tennessee Bankers Association
    Tennessee Bankers Association
    ATTN: Stacey Langford
    211 Athens Way, Ste 100
    Nashville, TN 37228-1381
    Phone: 615/244-4871 or 800/964-5525 Fax: 615/324-1981