TSFA Membership Form
Please fill out this form and click Submit button on the last page. Your Membership will become active upon receipt of payment. Should you encounter any issues, please email us at info@tnsmokefree.org.
Organization Name: *
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Owner: *
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Owner:
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Point of Contact Name: *
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Point of Contact Title: *
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Street Address: *
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City: *
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State: *
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Zip: *
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Total Employee Count *
For business/community impact documentation
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Total Square footage of all applicable locations: *
For business/community impact documentation
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Business Phone: *
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Business Phone Ext:
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Mobile Phone:
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Primary Email: *
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Company Website URL:
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Facebook Page Name or URL:
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