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MEMBERSHIP APPLICATION 

SECTION ONE
Please provide the following contact information:

Company Name
Address
City
State/Province
Zip/Postal Code
Work Phone
Alt. Phone
FAX
E-mail
Website
Primary Contact
Contact Title
Contact E-mail
Safety Coordinator
Safety Coord. E-mail
H.R. Manager
H.R. Manager E-mail
Marketing Manager
Marketing Manager E-mail
Year Company or MN/ND Office Established:
Revenue from work last year:
Is Company an ABC Member at another Chapter? If so, Where:
ABC Sponsor:
Reason for joining:

SECTION TWO
Please choose a category that best describes your company:

General ContractorSpecialty ContractorSupplierProfessional Associate

CLICK HERE FOR DIVISIONS AND SPECIALTY CATEGORIES TO LIST IN THE FOLLOWING SECTION!

If you selected General Contractor, please list the type of work performed and percentage of industrial and/or commercial work :

If you selected Specialty Contractor, please list up to three division specialties and percentage of industrial and/or commercial work:

If you selected Supplier, please list up to three division specialties:

If you selected Professional Associate, please list up to three specialties:

SECTION THREE: DUES SCHEDULE
Membership dues are based on last year's gross revenue and is a flat annual fee. ABC Dues may be partially deductible as a business expense. Your payment includes local, state, and national dues. Credit for pre-paid months will be applied to your first annual dues billing. Checks may be made payable to MN ABC.

Please select the category that corresponds to your company:

GENERAL & SPECIALTY CONTRACTORS DUES:
Cat. 12 (Gross Volume of Over $50Million) - $ 7,115
Cat. 11 (Gross Volume of $20 - $50Million) - $ 6,300
Cat. 10 (Gross Volume of $10 - $20Million) - $ 5,430
Cat. 9 (Gross Volume of $6 - $10Million) - $ 4,390
Cat. 8 (Gross Volume of $3 - $6Million) - $ 3,610
Cat. 7 (Gross Volume of $1 - $3Million) - $ 2,610

Cat. 6 (Gross Volume of $500,000 - $1Million) - $ 1,835

Cat. 4 (Gross Volume of $0 - $500,000) - $ 1,075

SUPPLIER MEMBER (Gross Volume Over $5Million) - $1,115

SUPPLIER MEMBER (Gross Volume Under $5Million) - $890

ASSOCIATE MEMBER (Over 10 Employees) - $1,115

ASSOCIATE MEMBER (Under 10 Employees) - $890