USATT Membership for NCTTA Members
This is the final part needed to get ACTIVATE your USATT membership. Part 1 (Register for NCTTA) and Part 2 (Simply Complete Registration) must be completed prior to this form and Part 3 (Fill out NCTTA Eligibility form).
Email address *
USATT membership # (from Simply Complete Dashboard) *
Your answer
Last Name, First Name *
Your answer
Date of Birth (Month/Day/4 digit year) *
Your answer
Email address *
Your answer
Gender *
Mailing address *
Your answer
Mailing address: City, State Zipcode *
Your answer
Phone number (area code) then number *
Your answer
Citizenship *
Your answer
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