Direct Membership Application for Wholesaler-Distributors · ASA

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CRITERIA FOR MEMBERSHIP: Article III of the Association’s Bylaws provides for the classifications, eligibility, voting rights and privileges admission, termination and reinstatement of all members.

Company information will be included in both the public and members-only membership directories.

For a company that joins as a new member after January 31 of the current fiscal year, any prorated portion of the paid annual dues will appear as a credit on the renewal notice for the following fiscal year. Dues, contributions or gifts to ASA are not deductible as charitable contributions for federal income tax purposes. However, dues payments are deductible by members as an ordinary and necessary business expense.

Company Information

Company Name

*

Main Phone

*

Main Fax

*

Website

*

Applicant is a (select one):

Applicant has operated under the present ownership (indicate since year or # of years):

*

Total number of employees?

*

Total number of locations?

*

Which PHCP/PVF vendors do you stock?

*

Headquarters Address

Address Line 1

*

Address Line 2

*

City

*

State

Zip Code

*

Country

Please select a dues amount:

The fiscal year is January 1 thru December 31. Annual dues are based on a company's total annual sales volume for plumbing-heating-cooling-piping (PHCP) and industrial pipe-valve-fitting (PVF) products only. Please indicate total sales volume (PHCP-PVF products only). This annual dues schedule is valid until December 31 of the current calendar year.