Student Membership Campaign Form

STUDENT MEMBERSHIP CAMPAIGN!
Today's students are tomorrow's certified athletic trainers.
NATA's student membership campaign benefits both students and educators!

Click HERE for a printable version (for mailing purposes)

Turn in 1 form per school, as each student can be counted only once.

For students* who join NATA for the first time between June 1, 2012 and April 30, 2013 and pay their dues in full, the prizes are:

1. For 1-20 new student members
Receive $5 for each new student member, (up to $100) for your school's student athletic training club

2. For 10-14 new student members
Prize 1 and $100 to your school's student athletic training club

3. For 15-19 new student members
Prize 2 and FREE annual meeting registration for one of the student members from your program

4. For 20 or more new student members
Prize 3 and FREE annual meeting registration for your athletic training program director/designated faculty member from your program or 2 additional student members

Students:
To join NATA, go to www.nata.org, click "Membership" and select "Join" from the drop down menu.

Must be postmarked
by May 30, 2013- please mail this form to:

NATA
attn. Member Services
2952 Stemmons Fwy., Ste 200
Dallas, TX 75247

or FAX it to:
214.736.5464

Questions?

Email kellyc@nata.org

Company/School:
Phone # for educator:
Name of educator who's submitting this form:
Address for educator:
E-mail:

Student Name:	NATA Membership #:

Please check here if you had more than 20 students join NATA. You will be contacted if further information is needed.

See list of prizes on left side of this form, and fill this out:

For #1,2,3 and 4 - Name of school's student athletic training club:

For # 3 and 4 - Name of student to receive free Annual Meeting registration:

For # 4 - Name of athletic training program director/faculty member or 2 students to receive free Annual Meeting registration: