STA Member Referral Application

First Name (required)

Last Name (required)

Email, work or personal (required)

Current Employer (required)

Employer Address (required)

City, State, ZIP (required)

Phone (required)

Job Description (check all that apply)
 Buyside Sellside Exchange ATS Vendor Trader Sales/Salestrading Compliance/Legal Technology/Operations Other

If you selected "Other," please describe:

Do you know anyone at your local affiliate?
 Yes No

If yes, please list name(s):

Please leave this field empty.

 

 

 

 

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