Membership application [test] Membership Application Annual DuesAs part of your membership, your company will be listed and referenced based on all of its associated products and service categories. Your dues will be based on the core service or product category that best describes your company.Please check all product and service categories that apply to your company:* Accounting Firm Aggregate Supplier Architect Asphalt Additive/Modifier Supplier Asphalt Laydown Contractor Asphalt Maintenance Contractor Asphalt Maintenance Material Supplier Asphalt Producer Banking/Investment Bonding/Insurance Construction Equipment Supplier Construction Material Supplier Consumable Energy Supplier Decorative Asphalt Laydown Contractor Earthmover Education/Research Facility Engineering/Consulting Equipment Manufacturer General Contractor/Developer Legal Firm Liquid Asphalt Producer/Supplier Material and Equipment Testing Milling/Pulverizing Contractor Publisher Rubblizing/Crack and Seating Contractor Testing Equipment Supplier/Manufacturer Traffic Control/Pavement Marking Contractor Transportation Association Trucking and Transportation Other (please indicate) Associate member dues levels based on product and service category: $1000 HMA Laydown Contractor $500 All other categories (Producer member and Liquid Asphalt Supplier member dues levels are established individually.)Applicant InformationName of company or organization* Street Address* City* State* Zip* Website Company DescriptionThis information will be included on WAPA's website.Primary contact first name* Primary contact last name* Primary contact title* Primary contact phone*Email* May we list your company information and description on our website? Yes No Would you like to be contacted regarding the possibility of you or someone from your company serving on a committee(s)? Yes No Additional Representatives (Optional)If you would like additional employees at your company to receive our newsletter and invitations to conferences, regional events and other meetings, please provide their contact information below.First NameLast NameTitleEmail Δ
