Membership Application & Renewal Form

Company Name

Primary Contact

First

Last

Mailing Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

Phone

Fax

Website

TDLR Contractor License#

Annual Sign Company Dues; Sign Manufacturing, Installation, Service Company

$370 1-10 Employees

$575 11-25 Employees

$790 26-50 Employees

$1110 50+ Employees

Annual Allied Member Dues; Sign Supplier, Product Mfg, Distributor, or Supporting Industry (Eng, Legal, or Insurance)

Chapter Dues

$150 Austin Sign Association

$150 Greater DFW Sign Association

$150 Greater HOUSTON Sign Association

$150 San Antonio Sign Association

Donation to the TSA Code & Ordinance Review Fund

USD

Referring Member

Return to: TSA,1200 Braircrest STE 3000, Bryan, TX 77802; Or fax the form with credit card information to: 979-268-7501

This dues structure, as approved by the board of directors September 2016, became effective January 1, 2017. 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 979-268-7500.

Total Payment Due

Total Payment Due

Card number*

Expiration date

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Year

CVC*

Name*

Address line 1*

Address line 2

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State*

Zip code*

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