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Protect Your Assets from Frivolous Claims
with TACT's Educators'
 Professional Liability Insurance
Send this coupon with your $59* payment to:

TACT 5750 Balcones Drive, Ste. 201 Austin, Texas 78731
Phone: (512) 873-7404 Fax: (512) 873-7423 E-mail address:tact@bizaustin.rr.com
or jump to the ONLINE form below

_____Yes, I am a current member and desire the professional liability coverage outlined above beginning November 1, 2007 through October 31, 2008 - all for only $59.*

_____Yes, I would like to become a member of TACT and also desire the professional liability coverage outlined above--all for only $158. ($99 annual dues and $59* liability insurance payment.)

Name:____________________________________________________________________________

University:______________________________________   Department:_____________________________________

Office Telephone:______________________________   Home Telephone:_____________________

E-mail address:____________________________________

Mailing Address:_____________________________________________________________

City:________________________________State:_________Zip Code:________________

_____Please charge my credit card _____VISA / _____MasterCard
Card No. #:__________________________________Exp Date:______/______/_______

*Disclosure of Charges
Insurance Cost Per Member $31.50
State Taxes and Fees (4.95%) $  1.56
Association's Admin. Fee $25.94
TOTAL $59.00

Join the Texas Association of College Teachers
Online Order Form

Please fill in the form below and click SUBMIT and then hit the back button on your browser. Thanks!

Yes, I am a current member and desire the professional liability coverage outlined above beginning November 1, 2007 through October 31, 2008 - all for only $59.*

Yes, I would like to become a member of TACT and also desire the professional liability coverage outlined above--all for only $158. ($99 annual dues and $59* liability insurance payment.)
Name
University
Department

Office Phone
Home Phone
Fax Number
E-mail

Address
City
State
Zip

Please Bill Me.
Please Charge my Credit Card
Exp Date
Exp Date

*Disclosure of Charges
Insurance Cost Per Member $31.50
State Taxes and Fees (4.95%) $  1.56
Association's Admin. Fee $25.94
TOTAL $59.00

TACT membership dues do not constitute a charitable contribution and due to lobbying activities, only 60% may be deducted as a business expense if applicable.

 

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