b'CENTRAL STATES INSULATION ASSOCIATION C$IA MEMBERSHIP APPLICATION Giving You More For YourAPPLICANT INFORMATION Company Name: _______________________________________________________________________ Dollar Every Day! Address: ______________________________________________________________________________ LEGAL SERVICES PLAN: City, State & Zip: _______________________________________________________________________ This plan provides members with the ability to get back their investment in dues many times over.EveryTelephone: ___________________________________Fax: __________________________________ CSIA Member is entitled to one consultation per month with attorney Bob Dunlevey of Taft/.This firmContact Name: _________________________________________________________________________ specializes in Labor Law, OSHA, and Construction Contract Law. Email: _______________________________________Website: _______________________________ NEWSLETTER:The CSIA Newsletter highlights Association activities and upcoming events. It also brings news of the region,TYPE OF MEMBERSHIP REQUESTED (check only one ) including labor and legal matters, items of general business interest, personnel changes within member Contractor $425.00 InsulationAbatementUnionizedMeritcompanies, and information on new products and technologies available from member supplier firms.Distributor/Fabricator $425.00 E- BULLETIN:Associate $513.00 ManufacturerSales Manufacturing RepresentativeThe E-Bulletin brings industry news to our members in between newsletter issues.It also provides Engineer/Specifier $95.00information in a condensed format and a great vehicle to get your message out fast to the membership! APPLICANT INFORMATIONSPRING LABOR SEMINAR: Please Answer the following questions so that we may get to know you better, and feel free to use additional sheets as necessary . Spring of each year, CSIA holds its Annual Labor Seminar which covers 16 area agreements and labor trend1. Type of Work in which your company is engaged: ___________________________________________updates.We also provide the Labor Management Manual which is an excellent reference manual for labor2. Length of time company has been in business; date established: _______________________________statistics and contract issues. This conference combines valuable networking opportunities, education and fun.FALL CONFERENCE: 3. Primary geographic area of operation: ____________________________________________________Each year, a Fall Conference is conducted at a facility within or near the region.At this business conference,4. Brief history of company: ______________________________________________________________directors and committee chairs are elected and official business is conducted.Guests are welcome at this__________________________________________________________________________________conference featuring outstanding speakers and workshop presentations.This conference is also a great5. Identify Principals of Company and Titles: _________________________________________________opportunity for a little relaxation and recreation which is made even more valuable by the added chance to__________________________________________________________________________________build social relationships with your colleagues from the insulation industry. 6. Number of Employees: ________________________________________________________________FULL TIME ASSOCIATION STAFF: 7. Labor Organizations representing your employees: __________________________________________CSIA Members receive the service of a full time staff; ready to give direct answers to your questions or to find8. Is your company a member of NIA? YesNothe source with the answer you need.We have members on our staff who are well versed in labor relations, government affairs, construction industry issues, and inter-industry relations.Well help you get the resourcesThis application for membership is made subject to the Bylaws governing such membership.It is understood and agreed that, if you need to keep your business running smoothly. and when approved by the associations Board of Directors, the applicant shall maintain membership in good standing and shall terminate it only in writing, and only after all obligations to the association have been met.The undersigned company and itsWEBSITEwww.csiaonline.org: representatives agree to abide by all terms and conditions of the associations bylaws. The website is a key item in our ongoing program to promote our CSIA Members.This website is not only designed to help the insulation customer find a CSIA Member in their area, it is also designed to help you theMembership Proposed by: ________________________________________________________________ contractor stay informed about current issues that affect your business, as well as providing access toExisting CSIA Member contractor services and product suppliers.Enjoy the convenience of online registration and dues renewal too! Signature of Applicant: _____________________________________Date: ______________________ ANNUAL SCHOLARSHIP PROGRAM: Make dues check payable to CSIA and return with application.Each year, CSIA offers two $1500.00 college or technical school scholarships to students who are the children Payment via Visa, MasterCard, Discover and American Express are also accepted. of or under the legal guardianship of employees of CSIA member companies.The purpose of this Scholarship Program is to help two college students per year in a field of study that is relevant to the Mechanical InsulationCard Number _______________________________________________Expiration Date ______________________ Industry. WEBINARS:Name on Card ______________________________Authorized Signature _________________________________ Each quarter CSIA offers you the best in business management sessions in human resource management, riskSend back completed form and payment to: management for safety directors, financial management for construction, and more!You tune in from your desk to hear and see the speaker, eliminating the need for costly travel and expanding CSIAs resources to all management personnel! FAX: (937) 278-0317 or MAIL: 7250 Poe Avenue, Suite 410 - Dayton, Ohio 45414'