Membership Application

Home Join ACTA Membership Application

Join ACTA today!

In recent years, ACTA has more than doubled its services — without increasing its membership fees. Funding for ACTA is provided from membership dues, which are matched by PennDOT.

Your Name(Required)

First Last

Email(Required)

Phone

Company(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

The following individual(s) will represent my company on the ACTA Board of Directors:

Voting Member

Alternate

Business Category(Required)

Category A Employers $2 per employee ($250 minimum; $5000 maximum)
Category B Hotels or Motels $2 per unit ($250 minimum; $5000 maximum)

Flat Rate Options:

Category C Developers, Building or Property Owners $1000 flat rate
Category D Public Agencies, Municipalities $2000 flat rate
Category E Trade Associations, Business Associations Colleges & Universities $500 flat rate

Number of employees(Required)

Per Employee Costs

Price: $0.00

Number of units in hotel/motel(Required)

Per Unit Costs

Price: $0.00

Comments

I wish to pay by check

Yes

Credit Card(Required)

Total