2011 Membership Application & Renewal Form
Company Name Company Primary Contact
Mailing Address
City, State, Zip
Shipping Address
Phone Fax
EMAIL WEB TDLR Contractor License #
Please designate membership classification and calculate annual dues from appropriate dues structure below.
Texas Sign Manufacturer/Maintenance/Erection, (Sells to end user, Firm with plant, office or storage facilities in Texas)
1-10 Employees $ 300.00
11-25 Employees $ 500.00
26-50 Employees $ 700.00
50+ Employees $ 1000.00
Out-of-State Sign Manufacturer/Maintenance/Erection (Sells to end user)
(Firm with no facility in Texas)$ 300.00 $
Sign Supplier
(Dues equal to $600.00 per physical location in Texas – Minimum $600/Maximum $1,800)$
Please circle the Sub Category for the directory listing:(Supports and sell to Sign Companies)
Sub Categories -
Distributor/Supplier - Product Manufactures - Manufactures Reps - Associate Members -
Local Association Dues (include your local association dues with your TSA dues, write one check)
Austin Sign Association – (TSA Member dues)$ 100.00
Greater DFW Sign Association – Sign Companies and Vendors (One Year)$ 175.00
Greater HOUSTON Sign Association – Sign Companies, Vendors, Associates$ 150.00
San Antonio Sign Association – Sign Companies, Vendors, Associates$ 150.00
Donation to the TSA Code & Ordinance Review Fund$
Total Payment Due$
Method of Payment: Payment must be received with registration form. No registrations will be invoiced.
VISA MasterCard AMEX Check Enclosed #
Cardholder’s Name
Credit Card Number Exp
Billing Address ST Zip
Pay Online line at : https://netforum.avectra.com/eWeb/DynamicPage.aspx?Site=TSA1&WebCode=LoginRequired
Return to: TSA,7070 Rye Loop, Bryan, TX 77803; Or fax the form with credit card information to: 979-778-3120
This dues structure, as approved by the board of directors September 2008, became effective January 1, 2009. Dues payments ensure company listing in membership directory. Contributions or gifts to Texas Sign Association are not deductible as charitable contributions for Federal Income Tax purposes. However, dues payments are deductible by members as an ordinary and necessary business expense. No portion of dues payment is used for lobbying purposes.
For questions or more information contact the TSA office at 979-778-3170
Sponsoring TSA Member



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