Join NCTR


Active and Non-Commercial Associates Membership Update Form

 

NCTR Current Members:

Please take a moment to fill out our Membership Update form below. This information will be used to update our 2012 Membership Directory as well as our website. Please complete by Dec. 19, 2011.

If you have any questions, please contact Robyn Gonzales, Assistant Executive Director, Operations; via email or by phone at (916) 394-2075.

Thank you for your timely completion of our Membership Update form..

MEMBER NAME:

Please enter how you would like your System's name to appear in the NCTR membership database as well as on the NCTR Website:

Member Name

Website Address

MEMBER CONTACT INFORMATION:

Please note: all contact information will be posted on the "Members'-Only" password protected portion of the NCTR website.

Director or CEO Name (First and Last)

Title

Email Address

Phone Number

Fax Number

Assistant's Name (First and Last)

Email

Phone Number

 

MEMBER ADDRESS INFORMATION:

Physical Address:

Address

Address

City

State

Zip Code

Mailing Address (If different than physical address):

Address

Address

City

State

Zip Code

PORTFOLIO INFORMATION:

In House

External

Total

As of (Enter Date)

Portfolio Notes

ENROLLMENT INFORMATION:

Active

Inactive

Annuitants

Total

As of (Enter Date)

Enrollment_Notes

STAFF LISTING:

NCTR will list up to 8 staff names on the NCTR Members' Only website. This is not mandatory and is at the discretion of the Member.

#1. Name

Title

Division

Email

Phone Number

2. Name

Title

Division

Email

Phone Number

3. Name

Title

Division

Email

Phone Number

4. Name

Title

Division

Email

Phone Number

5. Name

Title

Division

Email

Phone Number

6. Name

Title

Division

Email

Phone Number

7. Name

Title

Division

Email

Phone Number

8. Name

Title

Division

Email

Phone Number