TACA Membership Application For TACA Use Only __________
  Amt. Pd. (Check One) $85_______
  $40_______
 
Name:__________________________________________________________
           Last First Middle Initial
 
County or Business Name:__________________________________________
 
Complete Mailing Address:__________________________________________
 
Complete Street Address:___________________________________________
 
Office Phone:_____________ FAX:______________ Yr. Taking Office:______
 
Committee Interest:________________________________________________
 
BTPE#:____________ Year Certified:__________ Other Certs:____________
 
TACA Dues: Active Member
(Elected County Tax Assessor-Collector)
$85.00
 
  Affiliate Member
(Tax Related Business, Vendor, Non-County Tax Office Employee)
$85.00
 
  Associate Member
(County Deputy Tax Assessor-Collector)
$40.00
 
  Life Member $ 0.00
 
  Honorary
(by invitation only)
$ 0.00

Enclosed is my check for $________ Annual dues for_____________

Make Check Payable to TACA and mail to:
TACA, P. O. Box 1929, Angleton, Texas 75516-1929

(Any questions please call 979-864-1326 or email us at:
roving@brazoria-county.com or connieb@brazoria-county.com)

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