Download printable PDF or use form below

Application for Membership
Company Name:

Primary Contact:

Title:

Mailing Address:

City: State:
Zip:

Shipping Address:

City: State:
Zip:

Phone Number:

Fax Number:

E-Mail Address:


Date:


Website Address:

Type of Business:


Notification Preference
Fax E-mail (for memos, plan notifications, etc.)

Category:

Referred By: (name)
Referred By: (company)
Number of Years in Business
Please have your insurance carrier fax us a copy of your liability and workers compensation certificate.

Dues for all categories of membership are $275 billed annually. Dues will be pro-rated at the time of joining the Association according to the schedule below. There is an additional $25 fee for those who wish access to the Online Plan Room.

Month
Amount
September
$275
Month
Amount
December
$205
Month
Amount
March
$135
Month
Amount
June
$65

*Please note that 4th Quarter applicants are required to pay for the 4th Quarter as well as the next year ($340.00).

$ Representing my annual membership dues. (see table above)

$ Online Plan Room Access (if wanted add $25)

$ Total Due

Check
Please charge to my Mastercard/Visa

To pay with credit card call us at 417-627-9392?

The undersigned agrees that upon acceptance of membership by the Board of Directors of the Tri-State Area Contractors Association, Inc., he/she will endeavor to abide by the bylaws of the Association. Our mission is to further the interests of the local construction industry, while at the same time providing a safe work environment for employees and the general public. We further strive to cultivate working relationships with local government agencies, community leaders, architects, and engineers. Fulfillment of this mission is pivotal to the development of our community.

Signature: