Join Us In Improving Our Roads And Environment

The Rubber Pavements Association has created two new membership categories for agencies/ organizations and individuals who would like to join with us in encouraging greater usage of high quality, cost effective asphalt pavements containing recycled tire rubber. AFFILIATE MEMBERSHIP: Any governmental agency, federal, state or local or organization, interested in the objectives and purposes of the association. Fee: $75.00 annually INDIVIDUAL MEMBERSHIP: Any person interested in the objectives and purposes of the association who does not qualify for Associate or Affiliate Membership. Fee: $35.00 annually Affiliate or Individual Members may attend any meeting of the general membership but shall not be entitled to vote or hold office.

APPLICATION

Agency/Organizational/Individual name_____________________________________________________________ Address_________________________________________________________________________________________ City ___________________________________ State_______________________ Zipcode_______________________ Telephone_____________________________ Ext. ________________________ Fax____________________________ Contact name and title _____________________________________________________________________________ E-mail address _____________________________________ Website address ________________________________   Signature__________________________________________________________________ Date_________________ I/We are interested in applying for: Affiliate Membership ____ Individual Membership ____ Please remit your application along with a check for the appropriate annual dues to:

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