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Membership Application

Date *

Company's Name *

List all Owners, Partners/Title, and, if a corporation, Stockholders, Officers, and Directors *

Phone *

Fax

Email *

Website

Principal Place of Business

Street Address *

City *

County

State *

Zip *

Date Business Established

Employer Identification No. (EIN)

Type of Business

REGULAR MEMBERS (only)

ASSOCIATE MEMBERS (only)

List all Unions and/or District Councils that Applicant maintains or has maintained a collective bargaining agreement during the past ten (10) years:

The applicant agrees that as a condition of acceptance, it shall be bound by all of the provisions of the By-Laws of the Association and shall execute current Designations of Bargaining Agent, the originals which shall be returned to the Association Office and maintained in the members' file.

Applicant understands and agrees that the submission of this application is subject to review and must be approved by the Board of Directors of the Association.

Company Name

Name-Title

Apply for Membership

Membership Application

Principal Place of Business

Type of Business

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