EXPERIENCE: IPATA members are recognized as professionals

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Active Member Requirements
EXPERIENCE: IPATA members are recognized as professionals, providing quality services around the world. It is understood
that some members are new to the pet shipping industry while others have been transporting family pets for years. A mentoring
program is available to assist all members. This program is especially valuable as a training tool for those who are new to pet
shipping as they establish their own policies and procedures.
All applicants must have the following documents at the time they apply for
membership and/or meet the following requirements:
 Business License(S): Applicants must provide proof that they are legally
registered or licensed to conduct business in their country and in their state,
province, or city, if applicable. (See IPATA website for License
Requirements for Countries Around the World.) Prospective members are
required to provide the details on their type of company structure (corporation,
sole proprietorship, partnership, etc.) and a copy of their company registration,
the year the company was established, and the principal owners of the
company. Applicants will need to indicate whether they are a charitable/nonprofit organization or a for-profit company.
 Pet Shipping License: Applicants must provide proof that they are registered
or licensed to perform pet transportation services to the general public and to
serve as an intermediate handler receiving pets from their owners and
delivering them to airlines or other transportation companies, if required by
their country.

For U.S. “Active” members, you must be registered with USDA as an
Intermediate Handler, Class B Dealer or Transporter as required under the
U.S.’s Animal Welfare Act. For a definition of which type of registration
applies to you, go to USDA Animal Care (if you are asked for a password, click
“Cancel” and the page will load) and refer to "License and Registration
Information" for definitions of animal transporters, intermediate handlers and
Class B Dealers. To obtain the registration or licensing requirements, call the
regional Animal Care Office that covers your state. The location and phone
numbers are listed on page 10 of the Licensing and Registration Under the
Animal Welfare Act booklet.
 For Non USA members, check the licensing requirements on the link
above or contact your Ministry of Agriculture to see if your country
requires a license for you to transport pets.
Applicant is required to enter the license numbers, issuing authorities,
business name in which the permit is issued, and expiration date on the
application form; and send a copy of the license(s): Animal Handler/
Transporter License/Permit, Import/Export License, Customs Broker License,
etc.
 Insurance Requirements:
 Auto Insurance: Applicants must have auto insurance if required by their
country and provide a copy of the insurance policy or certificate/page
showing the insurance carrier, name of the insured, amounts of coverage, and
expiration date.
 Liability Insurance: Applicants must have business liability insurance if
required by their country and provide a copy of the insurance policy or
certificate/page showing the insurance carrier, name of the insured, amounts
of coverage, and expiration date.
IPATA Membership Information
January 1, 2016
Live Animal Regulations
(LAR)
Certificate of Completion
All pet shippers* joining IPATA receive
the IATA Live Animal Regulations Distance
Learning Kit, including the LAR, as part of
their IPATA membership application fee.
We offer a reduced application fee if you
or one of your staff has a current LAR
Certificate of Completion or if you have a
current copy of the LAR in your office that
can be used to take the course. Check
the box on the application form; if we
have any questions, we will contact you.
The staff member must be listed as a
contact for your company, and a
telephone number for the contact listed.
Provisional members who do not
complete the training during the
provisional year are not eligible for full
IPATA membership.
*Provisional members who provide
ground transport only are not required to
complete the LAR training, and the
application fee will be modified to reflect
this. Ground transporters may change
their membership category to “pet
shipper” by purchasing the LAR Distance
Learning Course and completing the
training once they are active.
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 Services Provided: Applicants must currently provide or will provide pet shipping services to the general public.
 Company Website: Websites may be in a language other than English but must include an English version or
translation option. English is the international language for business transactions.
 Letters of Reference: An applicant must provide two letters of reference, including at least one letter of reference
from an IPATA member with whom they have worked in the past.
If an applicant has not worked with an IPATA member, the applicant should provide
♦ two letters of reference,
♦ a statement that they have not worked with any IPATA members, and
♦ a statement outlining what the applicant would contribute to IPATA as an active member of the organization and
what the applicant expects from an IPATA membership.
 Additional Documentation: If the information contained in the original application and/or supporting documents is
incomplete or unclear, IPATA may ask for /require additional documentation and information to complete the
application. By submitting your application, you agree to provide additional information as requested if you wish to
continue with your application.
 Financial Resources: IPATA members provide services to each other which may involve extension of credit and
payment after services are rendered. This is frequently based on trust and cooperation rather than on credit checks or
payment terms required from the general public. Prospective members are expected to have sound accounting
practices and a solid financial base which will allow them to meet their financial obligations in a timely manner.
Prospective members must agree to follow IPATA’s Membership Criteria, Code of Ethics and By-Laws at the time
they join.
 Reasons for Denial: We work hard to verify the legitimacy of every IPATA member, looking for the same credential
you would require before going into business with someone. Please provide accurate and complete information. Enter
all license numbers, issuer, issued/expiry dates, etc., and submit the required copies of your licenses, permit,
certificates, your proof of insurance, and other required documents. Incomplete or missing information will slow
down the application process.
o
If we cannot confirm the information you provide, we will ask you for an explanation and/or additional
documentation. If the explanation is not clear, and/or we cannot confirm the information submitted with your
explanation, your application will be denied.
o
Applications unsupported by favorable references will be denied.
o
Applications containing false or misleading information will be rejected.
o
If an application is denied, IPATA may provide an option for re-application at a future date.
IPATA Membership Information
January 1, 2016
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After Your Membership Application Is Accepted
All new applicants join as provisional members for one year, regardless of experience.

An announcement will be sent to the IPATA membership, with a Membership Information page.
You may include a brief (one – two paragraphs) introduction to your company on that page. There is
a section on Page 4 of the application form where you can provide the narrative you want included
with your introduction to other IPATA members. The focus of your introduction should be on
services you can provide to other IPATA members.

Provisional members have access to the MOS (Members Only Section) of the website which includes
Country Profiles, reference materials and other valuable aids for pet shippers. They have free access
to all on-line training modules, are listed in the internal membership directory (which includes
members’ after hours contact details, cell phones, etc.) and are members of the internal group email
list for sharing of shipping information and asking questions.

Provisional members have a list of mentors available for guidance and direction.

Provisional members are not listed in the public domain part of the website until they have met all
conditions of the provisional membership and are converted to Active membership at the end of their
provisional year.

Provisional members will be identified as such in the internal membership directory so that all current
members are aware of the new members.
 During the first year of membership:
A. At least one staff member must complete the LAR training with 80% accuracy. Upon completion,
IATA will issue an LAR Certificate of Completion, and a copy of that certificate must be sent to
IPATA to confirm completion of the training. This individual must be listed as a contact for your
company and must be included in the IPATA Member Directory. (This applies to pet shippers only;
not to ground transporters.)
If one of your staff members is not certified by the end of your provisional year, your company will
not be eligible for full active membership.
B. During the first year, at least one staff member in the company must complete the Basics Pet
Shipping Proficiency Exam with a minimum score of 80%. If the exam is not satisfactorily
completed during the first year of membership, the provisional member may extend the provisional
membership for a second year.
When a provisional member passes the proficiency exam, they will receive a certificate with the
person’s name and company name on it. Once a provisional member has received this certificate and
completed their provisional year of membership, its membership will automatically convert to
“Active” membership. The member company will then be included in the list of professional pet
shippers in the public domain part of the website.
If the exam is not satisfactorily completed within two years of membership, the provisional
membership will be cancelled. However, the applicant may reapply for membership at a later date.
At this time, the applicant will begin the process again as a new applicant, which will re-start the
timetable. The applicant must pay all applicable fees.
There are training modules provided in the Members Only Section that contains content covered in
the Proficiency Exam.
Members nearing the end of their provisional year are asked to review their company information and
contact information and make updates or edits as needed before they are converted to Active Status.
IPATA Membership Information
January 1, 2016
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IPATA Member Responsibilities
IPATA Code of Ethics
(Membership Criteria)
Implemented by IPATA’s Board of Directors
December 4, 2008
1. It is agreed that it is my responsibility to continuously
meet the licensing and business requirements of my home
country, state/province and city; that failure to meet these
requirements may result in my IPATA membership being
revoked.
2. I agree to follow the IATA standards for shipping and
handling of animals which includes following the IATA
recommendations regarding tranquilization, crating, care
and handling during air transport.
3. I agree to follow the animal welfare regulations of my
country and the destination countries of my shipments as
it relates to the care and handling of animals during
transport.
4. I understand that, as a member in good standing, I may
display the IPATA MEMBER logo on my promotional
materials and website. I understand that IPATA does not
“endorse” any IPATA member and that IPATA has the
right to require changes to any promotional materials or
website that incorrectly makes reference to the
relationship between IPATA and a member. If my
company status changes, through termination of
membership or non-payment of dues, and I am no longer
a current member of IPATA, I understand that it will be
my responsibility to remove the IPATA MEMBER logo
and reference to IPATA membership from my website
and promotional materials immediately.
5. It is understood that each IPATA company is individually
owned and operated. As such, each is responsible for
establishing their own business practices related to
policies, pricing, payment terms and customer service.
As a member of the International Pet and Animal
Transportation Association, I recognize that in order to fulfill
my obligations to the animals in my care, to my customers and
to the animal transportation industry my business must be
governed by honorable standards.
Therefore I pledge:
1. To provide the highest standard of care for the animals
entrusted to me, being constantly attentive to their security,
safety, and well-being; and to place their welfare above all
other business concerns.
2. To obey all applicable international, federal, state, and
local laws as well as licensing requirements governing
animal care and transportation.
3. To respect the issuing and registration of all patents,
trademarks and copyrights.
4. To deal professionally in accordance with the instructions
from the hiring agent and honestly and fairly with my
colleagues and with the general public.
5. To pay all accounts due according to the terms agreed
upon as well as to represent my products and services
fairly and honestly.
6. To avoid any slander or defamation of my colleagues and
to avoid unfair competitive practices, actions or business
practices in general which would result in dishonor upon
or distrust of my colleagues or the animal transportation
industry in general.
7. To respond within 30 days to any notification by the
IPATA Ethics Committee of a filed complaint.
6. Each member is responsible for resolving complaints
directly with clients or other IPATA members.
7. If complaints are filed directly with IPATA, the member
will be notified of the complaint so that it can be resolved
either through direct negotiation with the complaining
party or through appropriate legal channels.
8. It is understood that the membership status of a current
member may be referred to the Ethics Committee for
violations of the above Membership Criteria, the Code of
Ethics or the By-Laws and membership may be revoked
or other appropriate penalties applied for just cause.
IPATA Membership Information
January 1, 2016
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IPATA
Membership Application
Please be sure to read all the information included with this application. There is important information on pages 1-5 about how your application
will be processed and what happens when an application is approved. Please provide accurate and complete information—exactly as you would like to
see it displayed in your company listing—enter all license numbers, issuer, issued/expiry dates and submit the required copies of your licenses, permit,
certificates, your proof of insurance and other required documents. Incomplete or missing information will slow down the application process.
Applications containing false or misleading information will be rejected.
Please save this document to your computer; fill in the information, and save it again. Please attach your application as a Word Document.
Date Received
IPATA Ref #
2016-
Company Information
(Please enter your information exactly as you would like it displayed in the IPATA Member Directory.
Please include the international dialing code for your country in all telephone/fax numbers.)
Company
Name
Physical
Location
Address
City
Province/
State /
Postal Code
Country
Company
Website
(English Required)
Office Phone 2
Office Fax
Mailing
Address
City
Province/
State /
Postal Code
Country
Company
Email
Office Phone 1
Office After
Hours Phone
Contact Name
How did you
hear about
IPATA?
Business
Structure
Contact Email
☐ Internet
☐ Magazine
☐Other
Other Description
We are a:
☐ IPATA Member
☐ Corporation
Member Name
☐ Partnership
☐ Franchise
☐ Sole Proprietorship
Check all that apply
We are:
☐ For Profit
☐ Non-Profit/Charity
Legal Business Name
Legal Business Owner(s)
First Name
Title/Position
Office Telephone
First Name
Title/Position
Office Telephone
First Name
Title/Position
Office Telephone
Company Background /
Description
IPATA Membership Application
January 1, 2016
Last Name
Direct Email
Cell Phone
Last Name
Direct Email
Cell Phone
Last Name
Direct Email
Cell Phone
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Business Category
based on your primary core business
(Please select only
one category; and enter information for only that category.)
☐ Pet Shipper/Forwarder.
I ship pets by air and ground.
Airports Served
☐ Ground Transporter.
I ONLY provide ground transport services for pets.
Please describe your service area(s):
Please Use International Airport Codes
Closest major airport to your facility/where you
are located. Enter only one (1).
Airports where you provide services through
your own offices or direct employees
(not using an outside agent). List up to five (5)
Other Airports Served
(These airports will show up in the narrative part of your
listing, they do not show up in the search results when
searching on a specific country or state.)
Licenses
Enter the information on all current licenses that are required for you to conduct business in your country, state, or
city (business licenses or permits, corporation registration or company registration; company tax identification
/ VAT number; social security number/employer identification number.) AND submit a copy of each license as a
PDF. Please title your attachments to match the titles entered below.
☐ Check here if no business licenses are required in your country, state, or city.
C Name / Type
License #
Issued By
Date Issued
Expiry Date
License 2
License #
Name / Type
Issued By
Date Issued
Expiry Date
License 3
License #
Name / Type
Issued By
Date Issued
Expiry Date
Current
Business
License(s)
Pet Shipping
License(s)
Complete the information on all current licenses that are required for you to ship pets in your country, state, or city: Transporter
License, Animal Handler/Transporter, USDA Permit (required of all U.S. applicants), Broker License, Import/Export permit,
etc... Copy Required. Please email a copy of each license (PDF preferred) to bj@ipata.org.
☐ Check here if no pet shipping licenses are required in your country, state, or city.
License Name
License #
or Type
Issued By
Date Issued
Expiry Date
☐ Check here, copy section(s) above, complete information, and attach to this application if you have more licenses.
Insurance
Vehicle Insurance (Please send a copy of your insurance certificate that shows the name of the insurer, name of insured, Issue and
expiry dates, and amounts of coverage.) and enter that information below.
Carrier /
Date Issued /
Provider name
Expire Date
Policy
Policy Value
Certificate #
☐ Check here if no vehicle insurance is required in your country, state, or city.
Business / Liability Insurance (Please send a copy of your insurance certificate that shows the name of the insurer, name of insured,
Issue and expiry dates, and amounts of coverage.) and enter that information below.
Carrier /
Date Issued /
Provider name
Expire Date
Policy
Policy Value
Certificate #
☐ Check here if no business/liability insurance is required to conduct business in your country, state, or city.
IPATA Membership Application
January 1, 2016
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TSA Approved
LAR
Certificate of
Completion
US applicants only; not a
requirement for membership.
☐ Yes
Send a copy (PDF preferred) of your TSA certificate.
☐ No
The membership application fee includes the IATA LAR Distance Learning Kit. It is required that one of your listed contacts
completes the training during your first year of membership.
☐Check here if one of your contacts already has a current certificate of completion. Attach a copy of that certificate with your
application.
Staff Name:
Date Issued:
Physical Facilities
Location Address where
business is conducted, even if
same as previously entered.
Check if the following apply
☐ Air conditioned vehicle adequate to transport crated
animals
☐ Quarantine area
☐ Internet access
☐ 24-hour phone
☐ Fax
Describe the facilities:
size; location (industrial area,
home-based, office complex,
etc.), kennel area, etc.
Services You Provide
Please check the services that you provide in-house (services provided by your employees);
the services you can arrange for your clients (services that your company does not provide using your own employees).
Service
Boarding
Credit Cards (Accept payment by credit card)
Grooming
Kennels Custom or Modified
Kennels Standard airline sizes
Long Distance Road Transport
Local Pickup and Delivery
Government Approved Quarantine
Veterinary Services
Import and Export services
Freight Forwarding
Customs Broker
In-House
Can Arrange
Cannot Provide
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What Special Services can you provide that are not
listed or specified above (cat boarding, electronic
fencing, plant shipping, etc.)
Species
Birds
Dogs & Cats
Exotics
Fish
Can Ship
☐
☐
☐
☐
Horses
Lab Animals
Livestock (Small)
Other
Can Ship
☐
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Experience
Company Experience
How many years has this company been in business, legally operating under this company name?
How many years has this business been providing pet shipping services to the general public?
Average number of animal shipments per month during the last 12 months?
Owner/Staff Experience
Name of the owner, principal, or staff member in charge of pet shipping
Above person’s years of experience providing pet shipping services to the general public
Above person’s years’ pet shipping experience with this company
Above person’s years’ pet shipping experience with another company
Name of other company
☐ New Company or Pet Shipping Service? If this company or pet shipping division/section has been operating for less than
two years, please complete this section.
Please tell us about your new
company or service. When did you
start up; why did you decide to start a
new company or service? More?
IPATA Membership Application
January 1, 2016
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Other Professional Associations You Belong To
Organization Name
Organization Name
Organization Name
Year joined
Year joined
Year joined
Pet Shipping Contacts/Staff In Your Company
Primary Contact
First Name
Title/Position
Office Telephone
Cell Phone
Contact 2
First Name
Title/Position
Office Telephone
Cell Phone
Contact 3
First Name
Title/Position
Office Telephone
Cell Phone
Contact 4
First Name
Title/Position
Office Telephone
Cell Phone
Contact 5
First Name
Title/Position
Office Telephone
Cell Phone
☐ Ms.
☐ Mrs.
☐ Mr.
☐ Dr.
☐ Ms.
☐ Mrs.
☐ Mr.
☐ Dr.
☐ Ms.
☐ Mrs.
☐ Mr.
☐ Dr.
☐ Ms.
☐ Mrs.
☐ Mr.
☐ Dr.
☐ Ms.
☐ Mrs.
☐ Mr.
☐ Dr.
Accounting Contact
☐ Ms.
☐ Mrs.
☐ Mr.
☐ Dr.
First Name
Title/Position
Office Telephone
Cell Phone
Add contact to IPATA Group Email List:
Last Name
Direct Email
Office Fax
Free Phone
Add contact to IPATA Group Email List:
Last Name
Direct Email
Office Fax
Free Phone
Add contact to IPATA Group Email List:
Last Name
Direct Email
Office Fax
Free Phone
Add contact to IPATA Group Email List:
Last Name
Direct Email
Office Fax
Free Phone
Add contact to IPATA Group Email List:
Last Name
Direct Email
Office Fax
Free Phone
Add contact to IPATA Group Email List:
Last Name
Direct Email
Office Fax
Free Phone
☐ Yes
☐ No
☐ Yes
☐ No
☐ Yes
☐ No
☐ Yes
☐ No
☐ Yes
☐ No
☐ Yes
☐ No
References
Required: You must provide two (2) letters of reference, including at least one letter of reference from an IPATA member with whom you
have done business. If you have not worked with an IPATA member, please provide two letters of reference, a statement that you have not worked
with any IPATA members, and a statement outlining what you can contribute to IPATA as an active member of the organization and what they expect
from an IPATA membership. (Please submit your letters by email, PDF preferred to bj@ipata.org)
IPATA Members with whom you have done business. Please complete this section.
Company Name
Contact Name
Telephone
Email
Company Name
Telephone
Company Name
Telephone
References Provided By
Company Name
Telephone
IPATA Member?
☐ Yes
Company Name
Telephone
IPATA Member?
☐ Yes
Contact Name
Email
Contact Name
Email
Please complete this section. May include the IPATA members listed above
☐ No
☐ No
Contact Name
Email
Reference Letter Submitted
Contact Name
Email
Reference Letter Submitted
☐ Yes
☐ No
☐ Yes
☐ No
Alternate
Statement
(Field will
expand with
your text.)
IPATA Membership Application
January 1, 2016
-4-
Introduce Yourself to Other IPATA Members
When an applicant is approved as a member of IPATA, we send an announcement to all IPATA members, with a temporary page for our Membership Directory.
You may include brief— one – two paragraphs—introduction to your company for inclusion on that page when/if your application is approved.
This is a one-time opportunity to introduce yourself to all IPATA members. Focus on the services and quality of services you can provide to other IPATA
members—professional pet shippers.
Enter your text below; the field will expand to accommodate your message. If you do not enter an introduction here, the announcement will include the IPATA
Directory page only.
Terms and Conditions
By submitting my information, I confirm my agreement with and certify that
1.
IPATA has my permission to contact the references listed on this application and other IPATA members in my home country or region to
verify the accuracy of the information provided.
2.
I currently comply with my home country, state/province and city regulations and licensing requirements for conducting business and for
providing pet transportation services which involves accepting live animals for carriage and either providing transportation services directly or
tendering animals to transport companies for domestic or international commerce.
3.
I certify that I am providing (or will provide) pet transportation services to the general public and to other IPATA members and not just to my
own clients.
4.
I agree that any disputes arising through the application process of membership shall be governed by Texas law; that the location of any dispute
shall be in Texas; that I consent to jurisdiction in Texas and that any dispute shall be resolved conclusively through arbitration, rather than
litigation.
5.
I understand that IPATA has the right to deny membership to any prospective member who does not meet the Membership Requirements or does
not agree to comply with IPATA's Membership Criteria, Code of Ethics or By- Laws.
Affirmations
(All six boxes much be checked before your application can be processed.
If you cannot agree to these affirmations now, please feel free to reapply at a later date.)
☐ I have read and certify that I meet the Active Member Requirements (Page 6)
☐ I have read and agree to comply with the IPATA Membership Criteria (Page 8)
☐ I have read and agree to comply with the Code of Ethics (Page 9)
☐ I have read and agree to comply with the By-Laws
Please click on the link to read the By-Laws.
☐ I understand that if my application is approved, I will be a Provisional Member for one year. To achieve active membership status, I will
complete the Basics Pet Shipping Proficiency Exam and the LAR Certificate of Completion within the provisional year of membership, and I
will review and update my company and contact information within one month of my provisional year end.
☐ I understand that if no one on my staff has the IATA LAR Certificate of completion included with this application, one of my staff members
must complete the IATA LAR training during the first year of my membership and provide a copy of that certificate to IPATA to achieve active
member status and to continue membership with IPATA.
I certify that
The information provided on this application is true and correct to the best of my knowledge. It is understood that acceptance of this application by
IPATA is subject to verification as to the accuracy of the information listed. All information provided will be kept confidential to IPATA, its
Officers, Directors and Membership Committee and is for the sole purpose of determining eligibility for membership in IPATA.
Type the full name of the person submitting this
application:
Signature of the person submitting this application:
Company Name
IPATA Membership Application
January 1, 2016
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Method of Payment
We accept payment by credit card or check (drawn on a US bank). All Payments Must be Made in US Funds
A non-refundable application fee of $500.00 (US Currency) and payment for the appropriate LAR material is due with this application. Please
note that payment must be received before your application can be processed.
Cost of
Each Option
Please select the LAR Training Option that applies to your Current Situation
☒ Application Fee: Applies to all applicants.
Enter Only One
Applicable Fee
Amount
$ 500.00
The application fee of $500.00 will be charged when the application is received.
The LAR payment will be processed when the application is approved by our Membership Committee, with the
prorated dues. Annual dues are $475.00 (US Currency), prorated from the month application is approved. A
receipt for all payments will be sent to the applicant. *The IATA LAR will be mailed to you about six (6) weeks
after your membership is activated.
☐ No one on our staff has the LAR Certificate of Completion, and we do not have a current LAR Manual.
(This fee includes the IATA LAR Distance Learning Kit*, with the current LAR Manual.) One of your listed
staff contacts must complete this training and send us a copy of the Certificate of Completion during your
provisional year.
$ 320.00
☐ We have a copy of the LAR, and a copy of the cover page showing the year issued, is attached.
The application fee includes the cost of the LAR Distance Learning Kit* (without the LAR Manual). One of
your listed contacts must complete this training and send us a copy of the Certificate of Completion during
your provisional year.
$ 295.00
If you do not attach a copy of the manual cover, the full application fee of $820.00 will be charged.
☐ One of your staff members who is listed as a contact on this application form has the LAR Certificate
of Completion, and a copy of the Certificate is attached.
(We do not need the Distance Learning Kit, because one of our staff has already taken the LAR course.)
$ 00.00
If you do not attach a copy of the certificate, the full fee for the training materials--$320.00—will be charged,
and the LAR Distance Learning Kit will be sent to you.
☐ I am a Ground Transporter Only. Standard Application Fee Applies
Ground Transporters may change their status to Pet Shipper after the provisional year if one staff member
$ 500.00
has successfully taken LAR course. You can order the LAR Distance Learning Kit from IPATA at that time or
during your provisional year.
For credit card payments, the application fee will be charged when the application is verified as viable; the LAR payment will be processed when the
application is approved by our Membership Committee, with the prorated dues. Annual dues are $475.00 (US Currency), prorated from the month
application is approved. A receipt for all payments will be sent to the applicant. *The IATA LAR will be mailed to you about six (6) weeks after your
membership is activated.
$
2016 Dues ($475.00) will be prorated at $40.00 per month and payment processed when the application is approved.
LAR:
☐ Distance Learning Kit with Manual
☐ Distance Learning Kit without Manual
$
Payment Processing Fee
15.00
Total Due when application approved
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Submit your application to
B. J. McGee, Membership Services Coordinator: bj@ipata.org
IPATA Membership Application
January 1, 2016
Postal Code
Questions? +1 903 769-2848 Fax: +1 903 705-6922
-6-
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