Membership Application

ANNUAL DUES

Subcontractor Members

$1,200 - DAS Pre-Qualified Subcontractors

$600 - Non-DAS Pre-Qualified Subcontractors

Associate Members

$600 - Companies that supply or service subcontractors

(Financial, Legal or Professional Services and Products)

COMPANY INFORMATION

Company Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Website Address

CONTACT INFORMATION

Primary Contact Name *

Primary Contact Title *

Primary Contact Email *

Primary Contact Cell Phone

Secondary Contact Name

Secondary Contact Title

______________________________________________________________________________________________________________________

Secondary Contact Email

Secondary Contact Cell Phone

GENERAL INFORMATION

Who referred or recommended you to CSA?
(Please provide a name, company, and, if available, an email address.)

What is your reason for joining CSA? Please check all that apply.

Subcontractors, please check your primary trade. Please check all that apply.

Associates, please check your primary trade. Please check all that apply.

______________________________________________________________________________________________________________________

Yes,

we agree to abide by and comply with all rules and regulations contained in the CSA bylaws. *

______________________________________________________________________________________________________________________

PAYMENT INFORMATION

New members receive a 10% discount on their initial dues payment.

Please check one. *

DAS Pre-Qualified Subcontractor ($1080)

Non-DAS Qualified Subcontractor ($540)

Associate ($540)

Test

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Current Total:

$0.00

CSA dues are not deductible as a charitable contribution for federal tax purposes but may be deductible as a business expense up to 81%

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