Roofing Contractors Association of Texas
Membership Application
for submittal by mail or fax

What type of membership are you applying for?

___ Residential contractor membership—Annual dues $150

___ Commercial contractor membership—Annual dues $300

___ Residential/commercial contractor membership—Annual dues $300

___ Associate membership—Annual dues $500

Company/corporation: ___________________________________________________

Name of representative: _________________________________________________

Position/title: ___________________________________________________

Mailing address: ___________________________________________________

City/state/ZIP: ___________________________________________________

Business phone: _______________________Fax: ________________________

Website:  _________________________   Email Address: __________________

Month and year firm established: ________________________

First name of representative's spouse: ________________________

Please list three supplier references (if a contractor member):

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Information for the Membership Directory

CONTRACTORS ONLY (If you are not a contractor, please skip to number 8).

1.    Please circle one category that best describes your business (circle only one):

2.    Please circle the type of contracting you perform (circle only one):

3.    Type of work (circle all that apply):

4.    Type of service (circle):

5.    Number of employees at height of season (circle):

6.    List any other association memberships you hold:

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

7.    Geographic area(s) of work performed:

ASSOCIATE (NON-CONTRACTOR) MEMBERS (items 8-10)

8.    Indicate the single category that best describes your business. Select only one.

9.    Type of service (circle):

10.  Geographic area(s) of work performed:

Optional: Two additional company personnel can be included for all mailings, benefits, and in the annual membership directory; however, address and phone number must be different from above. (Use separate sheet for information; please include titles.)

Method of payment: (please circle)

Check

VISA	Mastercard
American Express	Discover
Account number: _______________________
Expiration date: ________________________
Name on card: _____________________________________
Signature:______________________________________________________

Membership in the Roofing Contractors Association of Texas is nontransferable and extends from fiscal year January 1 through December 31.

I hereby make application for membership in the Roofing Contractors Association of Texas and, if accepted, will abide by its bylaws, subscribe to the code of ethics, support its objectives and pay the established membership dues.

Signature:_________________________________ Date:_______________

Sponsored by: __________________________________________________
(You must be sponsored by another RCAT member.)

Contributions or gifts to this organization 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. Under IRS rules IR-93-98 and notice 93-55, the government now requires exempt organizations to estimate the percentage of a member's dues utilized for lobbying purposes. From budget expenditures, experience and estimates, it has been determined that 40 percent of your dues may not be tax deductible as a business expense.

Fax or mail this form to:

Roofing Contractors Association of Texas
P.O. Box 785
Pflugerville, Texas 78691
(512) 251-7690 • (512) 251-8476 fax

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