Member Registration

Full Company Name *

Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Business Address *

Different to Mailing Address
Same as Mailing Address

Business Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Business Phone Number

Business Email Address *

Date your company was established *

Number of employees *

Please provide a description of your products and services *

Please input your company's 6-digit NAICS code. *

Is your business Women Owned? *

Yes
No

Is your business Minority Owned? *

Yes
No

Is your business Veteran Owned? *

Yes
No

Are you currently exporting? *

Yes
No

Which countries are you exporting to?

What is the total value of your company's exports?

Demographic Information

CEO Name *

First

Last

CEO E-mail Address *

CEO Phone Number *

Primary Contact *

First

Last

Primary Contact Email Address *

Primary Contact Phone Number *

Marketing Contact *

First

Last

Marketing Contact Email Address *

Marketing Contact Phone Number *

Accounting Contact *

First

Last

Accounting Contact Email Address *

Accounting Contact Phone Number *

How long in business under present name? *

Number of Employees *

What is your business category? *

Choose all that apply.

If other, please specify: *

Which of the below do you focus on? *

Choose all that apply.

If other, please specify: *

Where are your products being sold? *

Choose all that apply.

If other, please specify: *

All applications for membership must be approved by a majority of the CTA Board of Directors. Each company is entitled to one vote at the CTA annual meeting. Proxy ballots are issued 30 days prior to the meeting. CTA membership may be terminated at any time at the sole discretion of the Board of Directors if the Board concludes that the member has violated the Code of Ethics or the by-laws of the organization. CTA’s fiscal year is January 1st to December 31st. You pay one year’s dues when you join, regardless of the date. CTA will send you a prorated renewal statement for your second year of membership. Around December 1st, you will receive your first invoice. Call CTA at 714.352.4450 if you have any questions.

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Demographic Information

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