ATA Online Membership Form



Attention: If you are buying additional items through the store they will be processed through a separate PayPal cart. Therefore you will have to complete two transactions one for merchandise and another for memberships. We do this so that you will not be charged shipping or tax that would otherwise be incurred through our merchandise shopping cart.

*It will take approximately 2 weeks to receive your membership package.

STEP 1
Please fill out this form with the personal information of the person receiving the membership. The information submitted through this form will be used to process the membership itself so please make sure it is accurate.

Personal Information
 * Required

*Name

*Address

*City *State *Zip

ATA Number (if available) *Phone #

Email

*Birthday (Month/day/year)
Type of Membership
18 years and under is considered youth..		 Membership Year
 
Age Group/Category Selection
Only select a category from the below drop menu when purchasing a Youth Membership.		 Sex
New or Renewal? Does info match last years membership?

*Billing Name (As the name appears on the credit/debit card or paypal account being used for payment)

Please click "Submit" to submit the above form before moving on to the payment section. These are two separate forms that need to be processed and submitted separately. The Form below will show the submitted information.



STEP 2
Payment Submission

$12 Youth Annual ATA Membership (18 years & Under)
$20 Annual Membership (18 Years +)
$250 Senior Life Membership (65 + Older)
$500 Life Membership