IMPORTANT INFORMATION:  Effective immediately, the annual membership roster-and other timely announcements-will be sent via e-mail ONLY.  On occasion, we will send items via US Postal Service, but the great majority of communication will rely solely on e-mail.  Please be sure your e-mail address is current and legible.  Please contact us if this is not a viable option for you.

Application Type:

  Renewal                                  New Membership                            Honorary

Type of Membership:

  Regular Membership (Government)

  Associate Membership (Banking/Insurance)*

  Private Industry/Other* (please provide your reason for applying for membership on a separate sheet of paper or the back of this form)

*New Membership Sponsor Required:   

Note:  Use of the PNLTFA membership roster for commercial purposes is strictly prohibited. 

Your signature below indicates your agreement to adhere to this and the Articles & Bylaws of the Association as well as to respect all requirements of confidentiality. 

Signature:  ________________________________   Date: 

  By selecting this box you agree to accept the terms stated above.