Membership Application

Submitted by ARSA on Wed, 2005-05-25 14:25. Join ARSA

Welcome to ARSA! To join the Association online use the membership application below.

We suggest that you review About ARSA Membership before submitting your application.

Would you like to print the membership application? Download the one-page application in PDF format with this link. You may print the application and mail or fax your completed application to us.

Do you have questions about membership? Contact Ronda Wilder, Administrative Manager, 703 739 9543 or by E-mail.

When you submit the form, your responses are transmitted to ARSA. You will receive an invoice from us in the next few days.

If you wish to pay by credit card, we will ask for your credit card information on the invoice.

(Fields marked with a red asterisk* are required.)

The Primary Contact Person is the individual at your company who should receive ARSA publications and alerts, and who is responsible for ensuring continuity of membership in the Association.

Application for Membership in the Aeronautical Repair Station Association

Last Name (of Primary Contact Person):*

First Name (of Primary Contact Person):*

Middle Initial (of Primary Contact Person):

Job Title (of Primary Contact Person):*

Name of Company:*

Company Address:*

City:*

State:*

Zip/Postal Code:*

Company Telephone:*

Direct Telephone (of Primary Contact Person):

E-mail Address (of Primary Contact Person):*

Fax:

Company Web Site:*

Your company Web address is required. Enter 'none' if your company has no Web site.

Name of Parent Company (if any):

Chief Executive:
The Primary Contact Person above is also the Chief Executive of our company.
The Primary Contact Person is not the Chief Executive (Enter Chief Executive's data below).

Last Name (of Chief Executive):

Middle Initial (of Chief Executive):

First Name (of Chief Executive):

Job Title (of Chief Executive):

Direct Telephone (of Chief Executive):

E-Mail Address (of Chief Executive):

Newsletter:
Yes
No

Should the Chief Executive also receive the monthly ARSA newsletter?

Weekly Bulletin:
Yes
No

Should the Chief Executive also receive the weekly ARSA E-mail bulletin?

Other (Please specify):

If you clicked "Other" above, please use this blank to tell us how you heard about ARSA.

Membership Category:
Regular Member (Repair station with 1-10 employees): $500.00
Regular Member (Repair station with 11-25 employees): $1,000.00
Regular Member (Repair station with 26-50 employees): $1,500.00
Regular Member (Repair station with 51-200 employees): $2,500.00
Regular Member (Repair station with 201 or more employees): $3,000.00
Associate Member: $1,000.00
Corporate Member: $15,000.00
Individual Member: $250.00

The categories are explained in About ARSA Membership.

Number of Employees at Your Location:

FAA Certificate Number:

EASA Certificate Number:

Other Certificate (name & number):

Additional Contribution to ARSA Legal Defense Fund (Tax Deductible):

Suggested donation: $500. Help us fight the drug & alcohol testing rule!

Additional Contribution for Non-Tax Deductible Lobbying Activities:

Suggested donation: $100. Your support is deeply appreciated!

Select your Payment Type:*
I will mail a check payable to ARSA after I receive your invoice.
I will supply you with credit card information after I receive your invoice.

Mailing address: ARSA, 121 North Henry St., Alexandria VA 22314-2903.