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TVPPA Annual Membership Directory Order Form

To order, please complete the following form and press "submit" at the bottom. You may also print this form and mail it, with payment, to TVPPA, PO Box 6189, Chattanooga, TN 37401-6189.

Visa/MasterCard?
TVPPA gladly accepts your charge card purchases. Please call 423.756.6511 for assistance.

First Name:
Last Name:
Company/Utility:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Printed Copy:	Yes No The printed TVPPA Annual Membership Directory. I understand that the cost is $60 (or $30 for regular TVPPA members).
# of copies:	Please specify the number of printed copies you require.
Thank you! By clicking the submit button below, you authorize TVPPA to invoice you for the cost of the items you have selected above.