Please print and complete the form below, and we will reply as soon possible.


Company Name:

Shop Name:

Mailing Address:

City: County: Zip:

Phone: E-Mail:

Fax: Is this a dedicated line? Yes

Total Number of Stores:

Please list additional store names and addresses on the reverse side of this application

Annual Dues - First Store $300.00

Each Additional Store $100.00

Associate Membership $250.00

Total Dues Enclosed


Dues  become renewable on January 1st

Please make check payable to Texas Association of Pawnbrokers and mail with completed application to:

845 Canyon Crest Drive, Irving, TX  75063

Your cancelled check is your receipt. Retain a copy of this application for your records. If you have any questions, please call, fax or email:

Phone (972) 506-0203, Fax (972) 506-9015  Email



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