ICTA MEMBERSHIP APPLICATION

Industry Council for Tangible Assets
P.O. Box 1365
Severna Park, MD 21146-8365

Phone: 410-626-7005
FAX: 410-626-7007

Please fill out this form and print the completed form on your local printer by using your browser's print function. If paying by credit card, please feel free to fax it to the number above. Otherwise, just drop this in the mail with your check!

Payment Method

Check made payable to "ICTA"

VISA

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MINIMUM DUES $300. See Dues Guidelines.

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If you wish to pay by credit card:
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Signature:	______________________________________

Your Name:
Firm Name:
Address:
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Thank You For Supporting ICTA!

ICTA is a non-profit trade association 501(c)(6) which represents the rare coin/precious metals/tangible assets industry. ICTA is supported solely by dues and donations. All donations are gratefully accepted.