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2007 Contractor Membership Application
*Membership is valid for a 12 month period. Please type or print in black ink and return this completed form with payment to:
ACCA Oklahoma, Attn: Mark Bledsoe
P.O. Box 61323
Oklahoma City, OK 73146
Phone: 405/201-4684     FAX: 405/801-286-3101

Contractor: Contracting firm, corporation or individuals who design, install, service and/or repair environmental systems such as heating, air condition, refrigeration, humidification, air purification and ventilation.
Monthly Meetings: General Membership Meetings are held each month, except for June, July and August. If you are unable to attend, you may send a representative from your company.
MEMBERSHIP INFORMATION:

Name: Title:
Company: Mechanical License #:
Address: City/State/Zip:
Business phone: (area) FAX: (area) Email:
MEMBERSHIP DEMOGRAPHICS:
Types of Work Performed: (ACCA members refer business to each other! The codes below will appear in the Member Directory.)
___AC Air Conditioning ___EM Energy Management ___PB Plumbing/Piping
___CN Controls ___HT Heating ___RE Refrigeration
___DC Duct Cleaning ___IL Insulation ___SM Sheet Metal
___EL Electrical ___IA Indoor Air Quality ___VT Ventilating
Fields of Work Performed:
___% Design Build __service __installation __both
___% Residential __service __installation __both
___% Institutional __service __installation __both
___% Government __service __installation __both
___% Commercial/Industrial (> 5 tons) __service __installation __both
___% Residential/Light Commercial (< 5 tons) __service __installation __both
___% Industrial __service __installation __both
Union Affiliation:
__UA United Association
__RU Open Shop
__SM Sheet Metal
__Other  
MEMBERSHIP PAYMENT: (A company must be a member of ACCA National and a local ACCA chapter.)
Local ACCA membership dues: $300.00/annually

ACCA National membership: Membership is based on the number of employees at this location - please check one.
Total employees: Dues: Total employees: Dues:  
___ 1-3 $207 ___ 10-24 $517  
___ 4-9 $362 ___ 25+ $672  

Amount enclosed: ___________ Signature: ___________________ Date: ______________
(include local and national total amount)
ACCA dues are not deductible as a charitable contribution for federal tax purposes, but may be deductible as a business expense up to 80%. We estimate 20% of your dues are nondeductible for the tax year because of ACCAs lobbying efforts on behalf of its members.