CTPA Member Information - TASBO Connect Add / Removal Request
This form is to provide an individual name to be added to or removed from the member district's contact list found in the TASBO CTPA Connect program.  To add a name, please note the requested individual must be a member of TASBO to be able to be added to the program.  
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Member District Name: *
Submitted By Name: *
Email Address of the individual above: *
Phone # of the individual above: *
Will this be an add or deletion from the Connect program? *
New Individual Name
The following individual is to be added and associated with the district provided above.
New Individual's Name:
New Individual's Email Address:
Remove Individual Name
The following individual is to be deleted from the district identified above.
Individual's Name to be removed:
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