Membership Application

* Required

* Company Name
* Street Address
Mailing Address
* City		* State
* Zip	-	* Phone
Fax		Mobile
E-mail Address		Web Site
* Business Description and/or CSI Division (for membership directory listing)
Business Description CSI Division (To select multiple divisions, hold down the Ctrl key while clicking the desired division.)

*Type of Member

Contract Member
Please list license number(s)

Associate Member
Any person, partnership or corporation providing materials or services.

Professional Member
A registrant of and in good standing with the Arizona Board of Technical Registration. Registration #:

ACA Company Representatives

Please list the company representatives you would like to receive ACA communications:

Primary Representative
*Name
Phone		E-Mail
Invoice Recipient
Name		E-Mail
Address (if different from above)

Safety Officer
Name		E-Mail
Address (if different from above)

Additional Representative
Name		E-Mail
Address (if different from above)

ACA Bylaws & Deductibility of Dues

ACA members must pay dues according to the dues schedule adopted by the ACA Board of directors to be members in good standing. Dues to ACA are not deductible as a charitable contribution but may be deductible as an ordinary and necessary business expense. For the year you may deduct 90% of your dues. Pursuant to changes by Congress in federal lobbying law, we are required to make annual determinations and advise members that some of your dues are not deductible.

Annual Dues

Annual dues for contractors are determined by the company's license bond amount. The license number for your company with the largest bond amount will pay dues in the amount of the following schedule:

License Bond Amount = Dues Payable to ACA

License bond amounts are determined through the Registrar of Contractors Website. To review your company's license bond amount, please visit AZROC License Query. If there is a dispute on the license bond amount, please contact the ACA staff.

Less than $5,000 = $550

$5,001 - $10,000 = $650

$10,001 - $20,000 = $750

$20,001 - $40,000 = $900

$40,001 - $65,000 = $1,000

Greater Than $65,000 = $1,500

Associate / Professional Members = $550

Payment Information

Please add $35 for a new member processing fee.

If you are paying by check, please send payment to the following address:

Arizona Contractors Association
3033 N. Central Ave., Ste. 810
Phoenix, AZ 85012

*Payment Method Check or Credit Card

*Credit Card #
(Visa/MasterCard Only)

*Total Amount

*Expiration Date

*3-Digit Security Code

*Name on Card

How I initially learned about the ACA:
a newspaper/magazine advertisement in:
received membership mailing
referred by:
visited the ACA web site
other:

ACA Profile Staff History Board of Directors Contact Us Benefits and Discounts Awards Standing Committees

Products Safety Training SCF Arizona Publications Programs