Affiliate

Instructions

Primary Affiliate: Join as Primary if you do not pay dues to another Board.

Secondary Affiliate: ONLY IF you pay TX State Dues through another Board.

Select Your Option(s)

Primary Affiliate $260 Annually + $25.00 One-Time Fee

Secondary Affiliate $143 Annually + $25.00 One-Time Fee

Additional Affiliate $50 Annually + $25.00 One-Time Fee

$50 fee for additional affiliate

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameOffice Name

Please select a valid membership option and fee item if exist