Name of Organization: US Based International

Primary Representative

Alternate Representative

Name:     

Name:    

Title:       

Title:      

Address:

Address:

Phone:    

Phone:   

Fax:         

Fax:       

Email:      

Email:     

  Statement of organization's aviation-related activities:

  RTCA Dues Structure

Please Indicate category

Dues Amount

Less than $1 million gross revenue

$   475.00

$ 1 million to $10 million gross revenue

$1,700.00

$ 10 million to $100 million gross revenue

$2,200.00

$100 million to $500 million gross revenue

$3,300.00

Over $500 million gross revenue

$7,500.00

International Government Associates

$1,700.00

Academic Institutions

$   900.00

 Payment Options

       I am enclosing $ to establish my RTCA membership.  Please make your checks payable to

       RTCA, Inc.

       I wish to charge my membership to my credit card. (MasterCard, Visa, American Express)
Name on Credit Card: 
Credit Card # and Exp. Date:
CIN #
  This code number MUST be included for us to process your registration. For American Express cards, this is a 4 digit code on the face of the card. Visa and Master Card use a         3-digit code on the reverse of your card. Contact RTCA, 202-833-9339, if you have questions.
 

         Wire Transfer.  For this option, please contact the RTCA accounting department for information regarding

         payment  by wire transfer. A $20.00 fee is charged to receive wire transfers - please add this amount to your          total payment.

    

 

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