60 AL CONSTRUCTION NEWS JAN-MAR 2017
Company Name Mailing Address
Website City State Zip
Phone Number Street Address
Fax Number City State Zip
CSI Codes Applicable to Your Company
Primary Contact (listed in directory) Email Address
Training/ Human Resources Email Address
Safety Contact Email Address
Marketing/ Business Development Email Address
Legislative/ Political Interest Email Address
Chief Project Manager Email Address
Chief Estimator Email Address
COMPANY INFORMATION
YOUR COMPANY REPRESENTATIVES TO ABC
COMPANY PROFILE (35 words of less)
SPONSOR ( Who referred you to ABC?)
PAYMENT OPTIONS
ADDITIONAL CHAPTERS
MEMBERSHIP RATES
Associate $1,105
Supplier $1,060
Up to $500K $1,075
$500K-$1 Million $1,600
$1-$3 Million $2,400
$3-$6 Million $3,250
$6-$10 Million $4,170
$10-$20 Million $4,915
$20-$50 Million $6,750
$50-$100 M Illion $8,000
$100-$200 Million $9,500
Over $200 Million $11,810
Check
Credit Card
Credit Card
Card Number
Exp. Date
Code
Signature
*Dues are deductible as a business expense for that amount paid for lobbying expenses. ABC
has determined that 40% of your above due is for lobbying and therefore not deductible.
as s o c i at e d b u i l de r s & c on t rac t or s
APPLICATION FOR MEMBERSHIP