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UTA
MEMBERSHIP REGISTRATION
First Name
Last Name
Phone
Address
Email
Business Name
Are you a current/former member of the UTA?
*
Required
Yes
No
Membership No. (If known)
Select an item ($)
*
Individual - (yearly) - $75.00
Business - (yearly) - $150.00
Special - (Military Veteran, First Responder, or Senior - yearly) - $40.00
SUBMIT
Thanks for registering to our event. See you there!
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