Agreement to Participate
As a for-profit textile rental company, we wish to participate in the acitvities of the Textile Rental Services Association of America. We will support TRSA financially in accordance with the schedule of annual dues investment (prescribed by the TRSA Board of Directors.)

Section  I
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Key Person:
Company Name:
Address:
E-mail Address:
City: State:
Country: Zip:
Telephone: Fax:
Web Site Address:
Names and titles of executives who should receive association mail:
Full Name
Formal Title
E-mail Address
Address
(if different from above)
1.
2.
3.
4.
5.
Please list all locations including name, address, phone/fax numbers and key management.
Name: Address: Phone: Fax: Manager:
1.
2.
3.
4.
5.

Section II: Special New Member Programs for 2008
All rental companies that join TRSA in 2008 are eligible for:
1. A free 2008/2009 Roster/Buyers' Guide
2. A free TRSA seminar registration. TRSA seminars are scheduled throughout the year. (not valid for MMI or PMI)
3. A free TRSA publication of your choosing and a 10% discount from member prices on all TRSA publications* during 2008.
4. A free TRSA videotape. Included with your 2008 membership dues is the choice of any one TRSA videotape from the TRSA Training Resources catalog at no additional charge, and the option to order additional videotapes at a flat $20 per tape for VHS (for PAL, SECAM or NTSC, you'll receive an additional bill for format charges). Please list your selection(s) below.
Note: When registering for a free seminar or ordering a free or discounted publication, simply write "free" or "10% Discount" on the form.
* Excludes Washroom Test Kit, Chemicals, CD-ROMs and ProfitPoint™
Number
Title
Quantity
FREE
-10%
Please Check:
Total Quantity
Minus 1 Free Tape
-1
Net Total
Place Net Total Here x U.S. $20.00 Each = U.S. $

Section III: Association Dues
2006 Textile Rental Sales (Revenue) U.S. $
Find the circle the applicable dues category below:
Total Revenues
Your Annual Dues (U.S.)
Up to $1,000,000 $870
1 - 2.5 Million $1,030
2.5 - 5 Million $1,545
5 - 10 Million $1,802
10 - 20 Million $2,060
Over 20 Million $3,090
Members may take a discount for early payment or automated credit card payments. Please check the discount you wish to claim. For early payment discounts, payment must be received in the TRSA offices by Dec. 31, 2007; and for automatic credit card payments, a credit card number with expiration date must accompany this form.
4% Discount for full payment of 2008 Dues by check before Dec. 31, 2007
2% Discount for full payment of 2008 Dues by credit card before Dec. 31, 2007
Total first-year TRSA dues: $

Section IV: Textile Rental Magazine
As a textile rental member of TRSA, your company is entitled to one free subscription for every $120 in paid dues to the association's award-winning magazine, Textile Rental. Please indicate below the names of other individuals from your company (in addition to those noted in Section I) that you would like to receive the magazine.
 
Full Name
Formal Title
Mailing Address
1.
2.
3.
4.
Textile Rental magazine is sent via surface mail. Air mail service is optional at U.S. $150 for each subscription. Check below if you want Textile Rental magazine sent via air mil. Please include payment for air mail postage with your dues check.
Send Textile Rental via air mail

Section V: Digital Library Subscriptions
TRSA's Digital Subsription Library contains more than 130 publications, videos and computer media. The Library contains industry-specific resources on accounting, dust control, healthcare, production, sales and service and strategic management. Access to the Digital Subscription Library is available to members at no additional cost. Contact TRSA at 703/519-0029 for a passcode.

Section VI: Payment
Please bill my annual dues and videotapes to my:  
  Visa   MasterCard   American Express 
Card Number:
Expiration Date:
Name on Card:
For Wire Transfer:
 Please email Vielka Chandler at vchandler@trsa.org

Section IX: Referrals
If you were referred to TRSA by another member please let us know their name and company name.

Contact Name:
Company Name:

I swear and affirm that I have verified the information, including revenue and dues declarations, on this form is correct. (This box must be checked to complete this form)

Section IX: How to reach us
Please click on Apply to send this application electronically, or print then mail or fax this application with your dues payment to:

Textile Rental Services Association of America (TRSA)
1800 Diagonal Road, Suite 200, Alexandria, Virginia, 22314-2840

If you have any questions about the association or this application please contact us at:
Telephone: (703) 519-0029 • Toll Free: 877-770-9274 • Facsimile: (703) 519-0026

For information on TRSA programs visit www.trsa.org or trsa@trsa.org or call 877/770-9274. For advertising in Textile Rental, call Debbie Smith. IMPORTANT NOTICE: This message is intended only for the addressee and may contain confidential and privileged information. If you are not the intended Recipient, you may not use, copy or disclose any information contained in this message. If you have received this message in error, please notify the sender by reply e-mail and delete the message. ©2005 Textile Rental Services Association of America / 1800 Diagonal Rd., Suite 200 / Alexandria, VA 22314 / 703/519-0029