2001 Jefferson Davis Highway, Suite 1004, Arlington, VA 22202-3617 703-418-0392
2012 Membership Renewal
Click in the highlighted areas to enter your membership information on this form.
Return this document as a Word file (not a PDF).
Zip/Postal Code Country
Note: The Primary Contact is your Designated Corporate Voting Member (one per organization).
Primary Contact Title
Secondary Contact Title
Check the appropriate membership category:
Corporate Voting Member: $2,000
Corporate Nonvoting Member: $1,000
Nonprofit, Government or Academic Institute – Nonvoting Member: $150
To pay by check, mail to the address listed at the top of this form. For credit cards, or renew and pay
online by going to this website: http://www.coaltrade.org/membership/membership-renewal/
Select a Credit Card Type Click here to choose
Credit Card #:
Name as it appears on the Card Exp Date
Complete Billing Address for the Card
By checking here you agree to the terms and conditions associated with CTA.
The Coal Trading Association (CTA) is incorporated and organized as a business league as that term is used in
Section 501(c)(6) of the Internal Revenue Code of 1954. None of the 2012 dues will be used to engage in any
lobbying activities. Because no portion of the CTA’s annual membership dues is used for the purpose of lobbying,
the full amount of your dues payment is deductible as an ordinary and necessary business expense.
Coal Trading Association Federal ID#: 39-1991999 (Exempt)