Home - Asphalt Pavement Association of Michigan
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ASPHALT PAVEMENT ASSOCIATION OF MICHIGAN
2937 Atrium Drive, Suite 202, Okemos, MI 48864
ASSOCIATE MEMBER / ASPHALT SUPPLIER APPLICATION
The undersigned company (or individual) hereby applies for Associate Membership in the Asphalt Pavement Association of Michigan and, if accepted for membership, will abide by the Constitution and By-Laws of the Association. Membership, once approved, will be considered to be on a continuing basis unless official written notice of withdrawal from the Association is received.
An Associate Member is defined as companies (or individual) that are suppliers, manufacturers, and service companies related to the asphalt pavement industry, and other highway industry contractors.
Asphalt Cement / Binder Suppliers are companies that supply liquid asphalt cement used in the manufacturing of Hot Mix Asphalt.
The undersigned company (or individual) further agrees to pay the annual dues for the Associate Membership in accordance with the schedule determined by the Board of Directors.
Name of Company: _____________________________________________________________
Nature of Business: _____________________________________________________________
Mailing Address: ________________________________________________________________
Phone: ___________________________ Fax: _______________________________________
Email: ________________________________________________________________________
Name of Contact Person: _________________________________Title: ____________________
APPLICANT:
Signed _________________________________ Title ____________________________
Date __________________________________
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FOR APAM USE ONLY
Date Received _____________ Action Taken ___________________ Date ___________
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