Associate Consists of non-profit associations, individuals, community supporters or planning organizations. $150 annual dues Associate Member Application Company DetailsOrganization*Mailing Address* Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Website Contact DetailsPrimary Contact*This person will be the main point of contact for this membership. First Last Title*Email* Office Phone*Office Phone ExtensionCell PhoneWould you like our quarterly newsletter by*EmailSnail MailMembership TypeMonth of Application*The FPTA fiscal year runs October 1-September 30. Annual dues are $150. Pro-rated dues calculations begin in January each year. Select the month below to calculate your current dues rate.OctoberNovemberDecemberJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberProduct Name Price: $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.