26/27 Treasurers' Association of VA County/City/Town Membership Application Invoice

Please PRINT your information:

Name:		
Title:		

Locality:		

Business Mailing Address:		City,& Zip Code:		

Business Telephone:		Business Fax.No:		

Business E-Mail Address:		

►	Dues cover the period of July 1 to June 30 and are not prorated.
►	Dues apply to the entire office, including any new individuals employed during the year.
►	Dues must be paid to take advantage of discounted education and conference registrations.
►	Dues are billed in July and due upon receipt. Please include payment with this application.
Note: Per IRS code section 6113, contributions (including membership dues) are not deductible as charitable contributions for federal income tax purposes. Approximately, 22.4% of membership dues used for political/lobbying expenditures.

Annual TAV Dues (See population chart below)
Population	Membership Dues		
0-2,500	$200		
2.500-4,999	$250		
5,000-9,999	$325		
10,000-19,999	$400		
20.000-29.999	$450		
30,000-39,999	$500		
40.000-59,999	$550		
60,000-79999	$600		
80,000-99,999	$650		
100.000-199,999	$750		
200,000-499,999	$800		
Over 500,000	$850		

TOT AL AMOUNT DUE	$========
Please make check payable to: Treasurers' Association of Virginia (TAV)
And send to:  The Honorable Pamela H. Webb, Treasurer's Assistant
P.O. Box 306
Warm Springs, VA 24484
Pam.webb@bathcountyva.gov    	    or	  EMail:<LongnakerR@chesterfield.gov>
Phone: 540-839-7257 FAX: 540-839-7258	Phone: 804-748-1859  Fax: 804-751-4993
I	, Treasurer for the City of/ County of/

Town of

	accept honor and uphold all articles of the Code of Ethics.

(Signature of Member)	Date