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You will need to print out this form and mail it with your payment to ASA of Mississippi
APPLICATION FOR MEMBERSHIP
Date___________________________
This firm hereby applies for membership in the American Subcontractors Association of Mississippi, Inc. A check for $__________ is enclosed for one year's dues. The applicant is a Subcontractor, Supplier, or Supporter in the State of Mississippi.
Name of Company____________________________________________________________
Mailing Address______________________________________________________________
City_____________________________________________Zip________________________
Street Address_______________________________________________________________
City_____________________________________________Zip________________________
Telephone Number _____________________________Fax___________________________
E-mail___________________________Website____________________________________
Principal Type of Business (e.g. foundation, electrical, painting, plumbing, etc.):
___________________________________________________________________________
Interested in serving on the following committees:
| ______Business Practice Interchange (BPI) |
______Programs/Public Relations |
| ______Legislative |
______Technology |
______Education |
| ______Membership |
Other___________________________________ |
The following will represent our firm in the Association:
Name_____________________________________Title______________________________
Alternate_________________________________________ Title_______________________
By_____________________________________________________Date________________
Comments:__________________________________________________________________
___________________________________________________________________________
Sponsor:__________________________________Firm______________________________
Membership Rates Per Category & Year:
| Category |
Rate |
|
|
| Political Action Committee |
$100.00 |
| M.C. Vaughan Scholarship Fund |
________ |
| Material Supplier |
$795.00 |
| Industry Membership |
$795.00 |
| Sales of 300,000 to 500,000 |
$795.00 |
| Sales of 500,000 to 1 million |
$880.00 |
| Sales of 1 million to 2 million |
$940.00 |
| Sales of over 2 million |
$1,175.00 |
| G C Honor Club |
$850.00 |
|
|
|
TOTAL ENCLOSED - |
$_______ |
NOTE: You will need to print out this form and mail it with your payment to ASA of Mississippi at the following address:
American Subcontractors Association of Mississippi
P.O. Box 84
Jackson, MS 39205
Payments to the organization are not deductible as a charitable but may be deductible as an ordinary and necessary business expense. Portions of those payments are not deductible as a business expense because of the organization’s lobbying activity. The non-deductible portion is 3%. |