MEMBERSHIP ELIGIBILITY FORM

All member companies are required to complete this form annually.

The membership eligibility criteria can be found in the TBA by-laws.

Legal Name

Enter the name of your company as filed with state and federal authorities.

DBA Name

Enter your company's preferred name to listed in TBA publications (if different from company's legal name).

State of Incorporation

State Corporation ID#

If filed as a 501(c)(3) nonprofit, what is the filing status of your organization as of today's date?

501(c)(3) Status

State Charity ID#

If filed as a nonprofit corporation.

Federal EIN#

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