Membership Application "*" indicates required fields Member InformationName* First Last Company Name Street Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Title Profession:AttorneyInvestment AdvisorAccountantOtherOther:* Are you currently acting as a Trustee for one or more private trusts? Yes No How did you hear about the Private Trust Consortium? Social Media Event/Networking Function Web Search Industry Colleague Other Other:* Membership Agreement and Privacy PolicyMembership Agreement*By checking this box, the Individual hereby acknowledges and agrees, that the Individual has read, understands, accepts, and agrees to the terms of this Membership Agreement. I agreePrivacy Policy*This site collects names, emails, and other user information. I consent to the terms set forth in the Privacy Policy. I consent
