Auto-Renewal Application

(Auto-Renewal) Membership Application

(Only Available until March 31st)
Membership Type*

New Member (Transit)- $25.00New Associate (Non-Transit) - $35.00Renewal (Member)Renewal (Associate Member)
Name*

First NameMiddle NameLast Name
Title (Do not abbreviate)*
Division/Department*
Work Location (Do not abbreviate)*
E-mail*
Phone Number*

Area CodePhone Number
Preferred way to contact

TextCallEmailAny
Address*

Street Address

Apartment

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Date Of Appointment*

MonthDayYear
Pass Number*
What are your days off?
Upload photo of yourself if you want to share or upload printed application here if you have paper copy.

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Membership Rules
By signing and/or submitting this application, I hereby acknowledge and agree that this constitutes a binding agreement between myself and the Hispanic Transit Society II Inc. I agree to comply with and be bound by the Constitution and By-Laws governing the Hispanic Transit Society II Inc., as they may be amended from time to time.

Upon submission of this application, I understand that I will be redirected to the membership payment page to complete payment and establish the automatic renewal of my annual dues.

Thank you!
Signature*

By signing/submitting this application, I agree to abide by the constitution and by-laws that govern the Hispanic Transit Society II Inc. I promise to pay my dues and understand that failure to adhere to the above mentioned will be cause for membership termination.

My Products*

Membership (Transit)

$25.00 + $1.05 fee included

$26.05 for each year

Associate Membership (Non-Transit)

$35.00 + $1.35 fee included

$36.35 for each year

Testing ONLY

$5.00 for each year

Credit Card

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(Auto-Renewal) Membership Application

Membership Rules

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