TPAA :: Membership Referral

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Membership Referral
Thank you for the referral! Please fill in the information below to refer a qualified TPA for membership in the TPAA. If the TPA becomes a member within 90 days of the date of this referral, we will send you a $100 American Express Gift Card as a thank you for your referral.

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	Tell us about the TPA that you think qualifies to be a member of the TPAA...	Additional Comments
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212 Church Street • Decatur, GA 30030 • Fax 404.377.2774 • 1.866.436.0188 • www.theTPAA.com • admin@theTPAA.com