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Application

MEMBERSHIP APPLICATION FORM

ROCKY MOUNTAIN ASPHALT USER/PRODUCER GROUP

We hereby apply for membership to the Rocky Mountain Asphalt User/Producer Group.  The effective dates of membership are from October 1, 2015 to September 30, 2016.  Payment of annual dues is required by October 1 of each fiscal year.  Membership entitles the organization to one designated voting member and representative on each of the subcommittees.

four reimbursed Conference trips per year. $3500

Governmental Agencies, etc $500

SUBCOMMITTEES (Optional)
(Please include address/phone/fax/email if different than above):



Acceptable forms of payment: Check, Visa, Mastercard

Rocky Mountain Asphalt User/Producer Group
Judy Gaines
P.O. Box 630196
Littleton, CO  80163-0196
Phone: 303-471-6286

 

Printable application click here.