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312 East Capitol
P.O. Box 785
Jefferson City, MO
65102

Ph: 573.634.2527
Fx: 573.634.5792

ric@mtia.org
rosie@mtia.org
lisa@mtia.org

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Become a Member

The Missouri Telecommunications Industry Association (MTIA) invites you to submit this Application to become a member of MTIA. Please provide the information requested and return this completed form, along with your dues check, in the amount of $300, to the following address:

Missouri Telecommunications Industry Association
P.O. Box 785, 312 E. Capitol Ave.
Jefferson City, MO 65102

Upon approval of your application, you will be notified and enrolled as a member of the Association. At that time, further information will be requested for purposes of the Association Membership Directory and future correspondence.

Name of Company:

Mailing Address:

City:
State:
Zip Code:

Phone/Fax:
Primary Contact Person:
Title:
E-Mail:
Web Site:
Category III Member 2008 Calendar Year Dues: $300
Any individual, firm, partnership, corporation or cooperative, with interests in common with the organization, and providing services to current Category I or Category II members, and not otherwise eligible for Category I or Category II membership, is eligible to become a Category III member.
Type of Services Provided (25 Words or Less):

Mark the box beside the services your company offers:
ACD Call CentersLightning Protection Grounding Systems
AccountingLocal Tariff Services
Acquisition ServicesLocating/Testing Equipment
AdvertisingLong Distance Consulting
Aircore Cable ServicesMailroom Services
AOCN ServicesManagement Services
Architectural DesignManufacturer/Manufacturers' Rep
Billing & Collection ServicesMarketing & PR
Broadband Transmission ServicesMicrowave Systems
Business & Succession PlanningMultiplexer Equipment
Cable Inst./Const./Man.Network Access Equipment
Cable TV ServicesNetwork Design & Const.
Caller ID EquipmentNetwork Management Systems
Calling Card SystemsOperational Support Systems
Carrier Access Billing ServiceOperator Center Software
Centrex Systems ProductsOpportunity Analysis
CLEC ServicesOutside Plant
Comm. Equip./Cables/Acc.Paging Systems/Services
Computer HardwarePower Prod./Syst./Equip./Serv.
Computer SoftwarePromotional Products
Conduit & InnerductProtection Equip./Serv.
Connectivity ProductsRegulatory Services
ConstructionRepair/Testing
Consulting ServicesRisk Management
Cost SeparationsSafety Equipment
Custom ProgrammingSafety Programs & Training
Database Management ServicesSatellite Services
Database Management SoftwareService Bureau
Database ProcessingSignaling System 7 (SS7)
Directory PublishingSoftware Provider
DistributorStaffing & Project Services
Employee Benefits/ConsultingStrategic Planning
EngineeringSwitching Equipment
EquipmentSynchronous Optical Network
Estate PlanningTax Planning
Fiber Optic Comm. Equip./Serv./TrainingTest Equipment
Financial ServicesTraffic Management
Frame RelayTraining/Education Services
Information Management SystemsTransmission Capacity
Insurance ServicesTransmission Equipment
Interconnection AgreementsUnderground Facility Protection
Internet Billing ServicesUnified Access Platform
Internet DevelopmentVaults/Manholes
Interstate Access Tariff AdministrationVoice Mail Messaging
ISDN ProductsVoice Processing Systems
Legal ServicesWireless Comm. Equip.
Wireless ServicesXDSL Equipment
Signature:

Date:

Dues to the Missouri Telecommunications Industry Association are not deductible as a charitable contribution for federal income tax purposes, but may be deductible as an ordinary and necessary business expense. A portion of dues, however, is not deductible as an ordinary and necessary business expense to the extent that Missouri Telecommunications Industry Association engages in lobbying. The non-deductible portion of dues for 2008 is five percent (5%).

For your information: Category I Member Any individual, firm, partnership, corporation or cooperative owning and/or operating a local exchange telecommunications company authorized to provide basic local telecommunications service in a specific geographic area in the State of Missouri as of December 31, 1995, or a successor in interest to such a company, is eligible for A Category I Membership in this Association.

Category II Member Any individual, firm, partnership, corporation or cooperative is eligible to be a Category II Member if it is operating as a telecommunications company, is authorized to do business in Missouri, and is engaged in any of the following principal lines of business: local exchange and/or basic local telecommunications service (but not eligible as a Category I Member); interexchange telecommunications service; wireless telecommunications service; competitive access provider; cable TV company; or any other telecommunications company as may be approved by the Board of Directors.

For additional information on membership, please call the MTIA Office at (573) 634-2527/Fax (573) 634-5792.


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