Associate Member. Associate Membership Application. Section I. Welcome. Section II. Business Information
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1 Assciate Membership Applicatin Assciate Member Sectin I. Welcme Thank yu fr yur interest in the Textile Rental Services Assciatin f America (TRSA). On behalf f the Officers, Directrs and Members f TRSA, we welcme yur applicatin fr membership in the nly trade assciatin representing the interests f the cmmercial laundries and wrking t prtect and expand the market fr textile services. TRSA is a member-driven rganizatin with each member, regardless f size, receiving an pprtunity t influence and guide the assciatin Three (3) assciate members n the TRSA Bard f Directrs. Withut members like yu, TRSA wuld nt exist and the vice f the cmmercial linen supply, industrial, healthcare and dust cntrl industry wuld be silenced. TRSA cnsistently serves the industry thrugh: n Advcacy Prtecting the industry n Educatin/Training n Research/Benchmarking n Netwrking and Infrmatin-sharing We welcme yu and lk frward t yur active participatin; as with mst pprtunities, yu, and yur rganizatin, will nly benefit based n yur level f investment f time t get invlved, access services and netwrk with clleagues. As an Assciate Member TRSA ffers yur cmpany an array f netwrking and prmtinal pprtunities. Sectin II. Business Infrmatin By cmpleting this sectin, yur cmpany is agreeing t participate in membership and activities f TRSA and t supprt TRSA in accrdance with its Bylaws and scheduled annual dues as set by the TRSA Bard f Directrs. Please print clearly: Date Cmpany Name Address 1 Address 2 City State Zip Telephne FAX Website URL Primary Cntact (Individual respnsible fr Vting and representing yur cmpany) Name Title Telephne Address (if different frm abve) City (if different frm abve) State Zip Membership Management Cntact (individual respnsible fr updating and maintaining membership recrds) if different frm abve Name Title Telephne Address City State Zip
2 Key Persnnel Please prvide cntact infrmatin fr key persnnel t receive TRSA cmmunicatins, member benefits and apprpriate access t prprietary infrmatin pertaining t their rles and respnsibilities CEO/President/Owner COO/Vice President CFO HR/Persnnel Directr Marketing/Sales Maintenance Legal Technlgy/IT Fleet Management Safety Envirnmental Other (please specify) Telephne Sectin III. Dues Please indicate the range f ttal revenue t determine annual dues amunt. All infrmatin prvided t TRSA is strictly cnfidential. Revenue Categry Revenue Range Fr Dues: Revenue Categry Revenue Range Dues LDF Cntributin* Ttal 1 $0 t $1,500,000 $3,350 _ $3,350 2 $1,500,001 t $3,000,000 $3,880 _ $3,880 3 $3,000,001 t $4,500,000 $4,524 _ $4,524 4 $4,500,001 t $9,000,000 $6,240 _ $6,240 5 $9,000,001 t $18,000,000 $8,476 _ $8,476 6 $18,000,001 t $30,000,000 $11,232 $1,500 $12,732 7 $30,000,001 t $60,000,000 $14,196 $1,500 $15,696 8 $60,000,001 t $120,000,000 $18,720 $3,000 $21,720 9 $120,000,001 and abve $23,400 $3,000 $26,400 *Legislative Defense Fund All cntributins t the TRSA LDF are used exclusively fr gvernment affairs activities in supprt f ur membership. Cntributins frm crprate funds may be tax deductible as a business expense. Yur cmpany revenue categry Dues Amunt Sectin IV. Payment Check Credit Card Card Type: VISA MasterCard AMEX (A 1.5% prcessing fee will be added fr credit cards.) Card Number Expiratin Date Name n Card Please invice 2
3 Sectin V. Advertising Opprtunities Textile Services magazine, TS Weekly e-news, Rster/Buyers Guide, On-Line Rster Buyers Guide and Digital Library Resurces Sectin VI. TRSA Plitical Actin Cmmittee (PAC) The TRSAPAC is rganized within federal electin guidelines t further TRSA s bjectives f prtecting and expanding the market fr textile services thrugh fair, balanced regulatin and advcacy. The TRSAPAC is cmprised f TRSA member cmpany executives and emplyees wh are rganized t supprt and elect pr-business candidates fr the U.S. Senate and the U.S. Huse f Representatives. It is essential that TRSA members wrk tgether t cunteract the strng and united frces f grups wh ppse the reusable textile services industry. The TRSAPAC prvides access and supprt frm legislative leaders and staff necessary t aggressively represent the interest n TRSA members by supprting candidates that supprt ur industry. TRSA is yur nly vice in Washingtn, DC One member, ne vte, ONE VOICE! TRSAPAC is authrized t slicit vluntary cntributins frm the executives and ther persnnel and stckhlders f ur cmpany fr the fllwing years. Please sign: _ My cmpany is a: Sle prprietrship Partnership Crpratin Other (please specify) I understand that my cmpany may nt apprve a slicitatin frm any ther trade assciatin fr these years (federal law requires plitical cmmittees t reprt the name, cmpany, address, ccupatin and emplyer fr each individual whse cntributins aggregate in excess f $200 in a calendar year). Officer s Signature Name Title Date Sectin VII. Cmmittees TRSA Cmmittees prvide guidance and subject matter expertise t the Officers, Bard and staff f the assciatin. We encurage yu, and representatives frm yur cmpany, t actively participate n a Cmmittee (individuals are limited t ne Cmmittee each). Please indicate yur interest in representatin n the fllwing Cmmittees and we will have a Cmmittee Chair cntact yu. All Cmmittee members must be appinted by the Cmmittee Chair and are subject t apprval by the Bard f Directrs: Assciate Executive Educatin Envirnment & Sustainability F&B/Restaurant Gvernment Affairs Healthcare Hspitality Human Resurces Industrial/Unifrm Rental Marketing & PR Safety Wmen in Textile Services 3
4 Sectin VIII. Prduct/Categries TRSA has the fllwing prduct and/r service categries. These categries may be listed in the print and nline versins f the Buyers Guide ( Assciates may select up t five (5) free categry listings and will be charged $20 fr each additinal listing. Please see the enclsed list f all categries. Please use this frm t update yur prduct listings. Main Categries Sub Categries Aprns/Bib Aprns Architects, Engineers and General Cntractrs Autmated I.D. Systems Bags Bar Mps Bath Rugs Bathrm/Restrm Prducts Cabinets Carts Basketliners, Cvers Carts Cart Handling Equipment Carts Carts and Hand Trucks Catalgs, Custmized Chemicals Chemicals, Bacteristats, Germicides and Mildewcides Chemicals Chemicals, Specialty Saps Chemicals Chemicals, Washing Chemicals Chemicals, Water Treatment Chemicals Cleaning Cmpunds Chemicals Ozne Systems Cils, Steam and Water Cmpressed Air Equipment Cnsultants Cnsultants, Acquisitins Cnsultants Cnsultants, Building Design and Cnstructin Cnsultants Cnsultants, Cmputer Systems Cnsultants Cnsultants, Equipment Selectin Cnsultants Cnsultants, Finance and Management Cnsultants Cnsultants, Human Resurces Cnsultants Cnsultants, Lab Analysis Cnsultants Cnsultants, Operatins Cnsultants Cnsultants, Sales and Marketing Cnsultants Cnsultants, Textiles, Linens and Linen Cnservatin Cnsultants Energy, Cnsultants and Suppliers Cntinuus Twel Prcessrs Cntrls, Machinery Cnveyrs Data Prcessing Diapers Dispensers Drum Recycling Dryers Dust Clths 4
5 Main Categries Sub Categries Dyeing Emblems and Label and Emblem Machinery Embridery Equipment Installatins Equipment Parts, Replacement Fabrics Finishing Tunnel Lading Systems Flders and Stackers Ftwear Garment Finishers Garments, Unifrms Garments, 100% Plyester Garments, Unifrms Garments, Career and Casual Apparel Garments, Unifrms Garments, Chef Apparel Garments, Unifrms Garments, Cleanrm Garments, Unifrms Garments, Cveralls Garments, Unifrms Garments, Healthcare Garments, Unifrms Garments, Hspitality Garments, Unifrms Garments, Industrial Garments, Unifrms Garments, Linen Supply Garments, Unifrms Garments, Specialty Hangers Healthcare Linen Healthcare Linen, General Healthcare Linen Incntinence Prducts Heat Reclaimers Inventry Cntrl Systems Invicing Systems Irner Supplies Irners Labeling and Laminating Materials Laundry Bags and Stands Laundry Machinery Linens Bed Linen and Pillws Linens Table Linen Lint Cllectrs Mat Prcessing Machines Material Handling Systems Mats Mattresses, Specialty Micrfiber Prducts Mps Mp Handles, Frames and Tls Mps Mp Prcessing Systems Mps Mps, Dust Mps Mps, Micrfiber Mps Mps, Wet Order Picking Systems 5
6 Main Categries Packaging Equipment and Materials Sub Categries Pads and Underpadding Pads and Underpadding, General Pads and Underpadding Pads, Padding and Cver Clth (Fr Irners and Presses) Placemats Plant Cnstructin, Design and Layut Pllutin Cntrl Equipment Pre-Owned/Rebuilt Equipment Presses Pumps Racks Flw Racks Racks Garment Racks Racks Tables, Racks and Bins Rail Systems Ruting Systems Screens, Wastewater Shp Twels/Wipers Shp Twels, Printer Twels, Industrial Twels Shp Twels/Wipers Wipers Single-Service Clth Twel Rubber Ties/Rubber Ties, Threadmarkers Srting Garment Srting Equipment Srting Sil Srting and Cunting Equipment Spreaders and Feeding Aids Stckrm Systems, Garments Tanks Thermal Fluid Heating Equipment Twels Twels, Micrfiber Twels Twels, Nnterry - Kt Dish Twels Twels, Operating Rm Twels Twels, Single-Service Clth Twels Twels, Terry - Hspitality Training and Testing Services Vehicles Vehicle Manufacturing Washer/Extractrs Batch Washer Washer/Extractrs Extractrs Washer/Extractrs Washer/Extractrs Wastewater Treatment Equipment Water Heating Equipment Water Reuse/Recycling Systems Water Sftening and Cnditining Equipment 6
7 Textile Rental Services Assciatin f America 1800 Diagnal Rad, Suite 200, Alexandria, VA l 877/ l 703/ l fax 703/ l 7
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