JCTA Membership Registration

If you would like to register without using a credit card, please download and complete the JCTA Registration Form.

Salon Information

* Salon Name:

* Owner First Name:

* Owner Last Name:

Email Address:

Website:

Salon/Shipping Address

* Address:

* City:

* Province:

* Postal Code:

* Phone Number:

Fax Number:

Billing Address

Billing address same as shipping address.

* Address:

* City:

* Province:

* Postal Code:

Phone Number:

Fax Number:

How'd You Hear About The JCTA?

If it was a distributor, what was the rep's name?

Membership Information

Full Membership
(Salon membership - One membership per location - Tanning Equipment based on each location)

	Free Trial Membership Free 2 week trial for access to the Members Only on the JCTA website	$0.00
	Under 5 Pieces of Tanning Equipment includes $44.00 to fund research and advocacy of the benefits of UV light	$99.00
	JCTA Membership 5 to 10 Pieces JCTA Salon membership for 5 to 10 pieces of equipment includes $94.00 to fund research and advocacy of the benefits of UV light	$199.00
	JCTA Membership over 10 pieces JCTA Salon membership for over 10 pieces of equipment includes $144.00 to fund research and advocacy of the benefits of UV light	$299.00

Select An Insurance Membership Below To Receive Insurance Discounts

Contact LMS Prolink for your JCTA Insurance Program pricing at 800-663-6828 Ext. 7736 or Email: davidt@lms.ca

	JCTA InsuranceMembership for under 5 beds JCTA Insurance Combo Membership for 5 beds and under Includes Smart Tan Membership includes $44.00 to fund research and advocacy of the benefits of UV light	$338.00 *
	JCTA Insurance Membership 5 to 10 pieces JCTA Insurance Membership for 5 to 10 pieces of equipment. Includes Smart Tan Membership incl $94.00 to fund research and advocacy of the benefits of UV light	$438.00 *
	JCTA Insurance Membership over 10 pieces Insurance Salon Membership for over 10 pieces of equipment Includes Smart Tan Membership includes $144.00 to fund research and advocacy of the benefits of UV light	$538.00 *
	* Shipping Cost for JCTA Insurance Membership will be added to the price	$30.00
	Current Insurance Expiry Date: / / Insurance Membership will be prorated to expiry date of Insurance policy
	Subtotal
	GST
	HST
	Total
	Monthly Total

Payment Information

Pay Full Amount Pay Monthly.

* Company

* Name on Card

* Card Number

* Expiry /

Comments:

I hereby agree to have the Joint Canadian Tanning Association (JCTA) represent my salon with regards to any provincial or federal proposed regulations and or guidelines for the tanning industry.

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