FPGA CONTRACTOR/INSTALLER/SERVICE 2017 MEMBERSHIP APPLICATION

Similar documents
Company Name. Company Rep. Title. Address. City State Zip. Phone # ( ) Fax # ( ) Toll Free Phone # ( ) Website

WPGA Membership Application

FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS

Contents and Links. Click your selection to be redirected to the appropriate page. The following links will redirect you to the ARDA website.

Send one check in the total amount payable to the Florida Department of State.

TIP 95A01-28 Date Issued: Sep 28, 1995 EXEMPTION EXTENDED FOR LARGE BOATS SOLD TO NONRESIDENTS

Big Country Home Builders Association 4398 Crawford Drive Abilene, Texas Phone: Fax:

CAC. The Association of Collection Professionals in California

BUSINESS ACCOUNT APPLICATION

The Roof Coatings Manufacturers Association?

2018 Membership Application

A GUIDE TO SETTING UP A SMALL BUSINESS AND PROPERLY TRACKING YOU INCOME & EXPENSES

FLORIDA A&M UNIVERSITY NATIONAL ALUMNI ASSOCIATION. Tallahassee, Florida

Affiliate Membership. What is AWO? What is Affiliate Membership? Benefits of AWO Membership. Cost of Affiliate Membership: $5,000

Please complete the attached forms and mail, fax or back to the following:

2017 INSTITUTIONAL MEMBER APPLICATION

CERTIFIED PROFESSIONAL BUILDER CERTIFIED PROFESSIONAL REMODELER CERTIFIED PROFESSIONAL BUILDER/REMODELER APPLICATION

witc TiME" TO C+1A ~ We Build Relationships, not Branches. ur s e, t lh is swi tch kit to transfer Ready to move?

AT&T and NPPGov Authorization Form

CREDIT CARDS ARE NO LONGER ACCEPTED FOR EXPLOSIVES DEALER RENEWAL APPLICATIONS.

SHERRY ADAMS BOARD OF TRUSTEES - WARD I FOR THE PERIOD: JUNE 2018 to AUGUST 2018

INSTRUCTIONS FOR NOT FOR PROFIT ARTICLES OF INCORPORATION

Sole Proprietor Membership

FLORIDA A&M UNIVERSITY NATIONAL ALUMNI ASSOCIATION. Tallahassee, Florida

Membership Prospectus

Exhibitor Application Packet 2016 Conference Thursday, September 29, 2016

NEW ACCOUNT & CREDIT APPLICATION. SHIP TO: (If different from Bill To) How would you like to receive invoices? (Choose 1) Fax ( /Fax#)

DIRECTORS AND OFFICERS including Employment Practices Liability Insurance Application

Corporate Membership Application/Renewal

OFF CAMPUS HOUSING EXPO!!!! Register Online sga.famu.edu

Renewal Instructions for State Registered (Local) Contractors Local Specialty and State Registered (Certificate of Competency)

Application for Florida Enterprise Zone Jobs Credit for Sales Tax Effective January 1, 2003

APPLICATION FOR CHANGE OF STATUS Lee County Contractor Licensing P.O. Box 398, Fort Myers, Florida (239)

Limitations and Restrictions on Gifts, Honoraria, Travel and Loans

12A Consumer s Certificate of Exemption; Exemption Certificates. (1) It is the specific legislative intent that each and every sale, admission,

APPLICATION FOR REGULAR MEMBERS

Limitations and Restrictions on Gifts, Honoraria, Travel and Loans

Short Form Return of Organization Exempt From Income Tax

Form Disclosure Letter for Investment Managers

EXHIBITOR AND SPONSOR INFORMATION

Office of Insurance Regulation Life & Health Financial Oversight

*** N E W C A S H - CC A C C O U N T A P P L I C A T I O N * * *

FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS

Sign-up online at or complete & return

INTRODUCING BROKER APPLICATION

FLORIDA CITY AND COUNTY MANAGEMENT ASSOCIATION 2018 ANNUAL CONFERENCE

Sarasota County. A Property Owner's Guide to Mandatory Sewer Connection Phillippi Creek Septic System Replacement Program (Gravity Sewer System)

SPONSORSHIP & BOOTH SPACE

Natural Gas Conversion Rebate Program Application Form

EXHIBITOR AND SPONSOR INFORMATION

42 nd. ANNUAL CONFERENCE FEBRUARY 14-19, 2019 The Diplomat Resort & Spa Hollywood, FL Sponsor & Exhibitor Brochure

Recruited by: Information for Payment by Credit Card

Georgia Motorcoach Operators Association Mailing Address: 106 Main Street, Brookneal, VA FAX

Request to Participate in the Certified Audit Program

Membership Types ACTIVE CONSUMER DOMESTIC ASSOCIATE INTERNATIONAL ASSOCIATE. What type of membership should I apply for? Membership.

Sales Office SFA 2016 Conference P.O. Box 7452 Jacksonville, FL You may also complete the application and pay online, at the link below:

CUSTOMER INFORMATION. Please print clearly and complete this form in its entirety. Customer Name: Customer Address: Lintech Customer Service Rep:

TAX SOLUTIONS PARTNERSHIP TAX ORGANIZER FORM 1065

WECA Contractor Membership Application

Limitations and Restrictions on Gifts, Honoraria, Travel and Loans

FUNDRAISING AND OTHER ADVANCEMENT ACTIVITIES Guidelines for Non-Gift Items Updated January 4, 2016

2019 EBENSBURG COUNTRY CLUB MEMBERSHIP AGREEMENT

NCBA ANNUAL SYMPOSIUM SCHEDULE

MEMBERSHIP IS REWARDING

Government Finance Officers Association

THE SENIOR EXECUTIVES ASSOCIATION THE VOICE OF CAREER FEDERAL EXECUTIVES SINCE JOIN TODAY!

Union Contractor Membership Application Form (2017)

Balance $ Paid $ Ck # Balance $ Paid $ Ck # Paid in Full. Products to be exhibited: Special Needs:

COVER LETTER. The enclosed Articles of Domestication of a Non-U.S. Entity and fee(s) are submitted for filing.

CREDIT INFORMATION SEND US YOUR CREDIT APPLICATION AND RESALE CARD AND WE WILL EXTEND YOU $ INSTANT CREDIT FOR USE ON YOUR FIRST ORDER ONLY.

1. Apply for and show proof of: a. License in regulated jurisdiction (eg. Ontario, Alberta, Manitoba, BC) b. Malpractice Insurance c.

Thank you for your interest in purchasing your HVAC parts and equipment from Air Purchases, Inc./Engel HVAC Supply. We appreciate your business!

Electricity and Natural Gas Supply Services

Palm Beach County Code of Ethics Guide for Elected Officials and Advisory Board Members

Rutherford County Board of Education

STATE OF FLORIDA NOTARY PUBLIC APPLICATION ORDER FORM We Recommend Florida Notary Errors & Omission Insurance!

INTERNATIONAL PASSENGER PROTECTION LTD IPP House, Station Rd, West Wickham, Kent, BR4 0PR Tel: / Fax:

CORPORATE PARTNER OPPORTUNITIES Building Relationships to Advance Pharmacy

Gas Heating Conversion Rebate Program Form

Raffle Lottery Licensing Package

66th Annual Meeting. PDA2 14 August 13-17, 2014 The Fairmont Hotel Vancouver, British Columbia.

Membership Types ACTIVE CONSUMER DOMESTIC ASSOCIATE INTERNATIONAL ASSOCIATE. What type of membership should I apply for? Membership.

Florida Department of Revenue. Application for Pollutants Tax Refund Use black ink.

Membership Types ACTIVE CONSUMER DOMESTIC ASSOCIATE INTERNATIONAL ASSOCIATE. What type of membership should I apply for? Membership.

2015 IBWA Bottler Membership Dues Form

Financial System Special Category ID Definitions (Revised Dec. 2013)

Exempt Organization Business Income Tax Return

APPLICATION FOR MECHANICAL PERMIT Fill in all information completely

BUSINESSMAX MEMBERSHIP APPLICATION

2018 Sponsor & Exhibitor Brochure. Telephone: Toll Free Visit us at

State of New Jersey. Long Form Renewal Registration Statement CRI-300R

London Fashion Week Corporate Hospitality Booking Form 20 th 24 th February 2009

Group Underwriters Association of America

Form CR-1: CANDIDATE CAMPAIGN PERIOD FINANCIAL STATEMENTS

Reseller Agreement NAME OF BUSINESS: TAX ID/RESELLER#: A.O.R SALES REP: ADDRESS: AUTHORIZED SIGNATURE:

NC Petroleum & Convenience Marketers Planning Conference for 2017 & NCPCM 2016 Management Institute

MOST Missouri s 529 Savings Plan Trustee Certification

Helpful Tips to Sign Up Parents

Florida Department of Revenue Tax Information Publication. TIP 00A01-15 DATE ISSUED: Jul 05, 2000

NC Petroleum & Convenience Marketers. Planning Conference for 2018 & NCPCM 2017 Management Institute

Transcription:

FPGA CONTRACTOR/INSTALLER/SERVICE 2017 MEMBERSHIP APPLICATION Please complete and return this form along with your MC, Visa or check made payable to: FLORIDA PROPANE GAS ASSOCIATION, P.O. BOX 11026, TALLAHASSEE, FL 32302-3026 tel (850) 681-0496, fax (850) 222-7892 Company Name Company Rep. Title Address City State Zip Phone # ( ) Fax # ( ) Toll Free # ( ) E-Mail Website MEMBERSHIP CATEGORY ANNUAL DUES CONTRACTOR / INSTALLER / SERVICE COMPANY $196.00 Definition of Membership: A Contractor/Installer/Service Company shall be firms or corporations who contract, install or service LP Gas or propane equipment such as appliances, piping, venting, etc. Such firms or corporations shall have an interest in the propane industry and the welfare of the FPGA. Contractor/Installer Membership Dues $_196.00_ Florida Propane Political Action Committee Contribution-(Optional)Brochure Attached $ Supplier Friendship Fund Contribution (Optional)* $150.00 $ Individual Members (Optional - list on next page) No. x $45/each $ Committee of 100 Contribution (Optional)** $100.00 $ TOTAL 2017 DUES: $ Voluntary Contributions *The Supplier Friendship Fund is maintained by the FPGA Associate Members to host special events at the Annual Convention and other Associate Member activities. **The Committee of 100 funds are used for governmental affairs expenses that cannot be paid with FPGA dues. CHECK ENCLOSED MASTERCARD/VISA# EXPIRATION DATE: SECURITY CODE: CARD BILLING ADDRESS: ZIP CODE: I hereby apply for membership in the FPGA as a Contractor/Installer/Service Company Member. I certify that my company meets the definition of a Contractor/installer/Service Company Member as established by the FPGA Constitution. Signature Date Contributions to the FPGA are not tax-deductible as charitable contributions for federal income tax purposes. However, dues payments may be deductible by members with the exception of association lobbying expenses for ordinary and necessary business expenses. The non-deductible portion of dues for 2017 is estimated to be 20%.

Individual Member Application (make copies if additional spaces are needed) Individual Member Individual Member Individual Member Company

Please list your services for inclusion in the Annual Directory Appliances: Equipment: Services: Please complete this application and service form and return it along with your check to: Florida Propane Gas Association, Membership Dues, P.O. Box 11026, Tallahassee, FL 32302, by January 1, 2017.

FLORIDA PROPANE GAS ASSOCIATION (FPGA) MEMBERSHIP GENERAL INFORMATION Dues: Annual dues for members shall be payable in advance by the first of January each year. Dues shall be made payable and forwarded to: Florida Propane Gas Association Membership Dues P.O. Box 11026 Tallahassee, FL 32302 Definition of Membership Contractor/Installer/Service Company A Contractor/Installer/Service Company shall be firms or corporations who contract, install or service LP Gas or propane equipment such as appliances, piping, venting, etc. Such firms or corporations shall have an interest in the propane industry and the welfare of FPGA. Individual Membership - Individual Members shall be employees or retired employees of FPGA Associate Members.

Member Services The Florida Propane Gas Association provides extensive membership services. The following is a small sample of the variety of services available: Inclusion in and one copy of the FPGA Annual Membership Directory listing all FPGA committees, all member companies doing business in Florida Subscription to the bi-monthly Florida Propane Gas Association s digital magazine, providing timely information and an outlet for advertisers Monthly email blasts of the ENews, our associations electronic newsletter Discount on supplies for resale, including meter tickets, decals, signs, pamphlets, educational and safety products, NFPA books, NFPA Gas Codes, invoices and envelopes Discounted registration for meetings and conventions for the dissemination of industry information Education: Discounts on year-round training facility and service school, safety workshops, sales seminars, management workshops and certified employee training Active state lobbying efforts by Legislative Committee and Lobbyist Political Action Committee contribution opportunities State and national marketing programs Propane gas industry information Federal legislation efforts, research and development, safety and educational training, and national promotion Technical assistance and information And Much More!