Producer Membership Application | The Maryland Asphalt Association, Inc.

Apply using the form below to be considered for Producer membership, or download a form. Please note: your first quarterly dues payment is due with your application in order for it to be considered.

Contact Meg Tran at mtran@mdasphalt.org or 410-761-2160 with questions.

Producer Member Application

Application Contact Name *
Application Contact Email *
Company *
Company Address *
Company Address
Company Address
Company Address
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
Country
Country
Phone
Fax
Company Website
Principal Representing Firm (intended member of record) *
Principal Job Title *
Principal Email *
Principal Phone *
Registration Total
The company listed above certifies that it is actively engaged in the production of asphalt pavement materials in Maryland. It subscribes to the purpose of the Association to further improve the structural and economic advantages of asphalt pavement materials to thereby extend its use in Maryland. By completing this form, the company further agrees to pay Producer membership dues in accordance with the current rate set by the Directors. The company further agrees in applying for membership with the Maryland Asphalt Association, Inc., it will abide by the current Bylaws if elected to membership. *
Agree
A dues payment of $1250.00 must accompany your application in order to be considered. Please select how you would like to pay *
Invoice Me (Email)
Invoice Me (Mail)
Credit Card
Credit Card
Credit Card Number, Expiration, and CVC
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*Payment of membership dues are deductible for most members of a trade association like the Maryland Asphalt Association (MAA) under section 162 of the Internal Revenue Code as ordinary and necessary business. However, MAA estimates that 18.9% of a dues payment is not deductible as a business expense because of MAA’s lobbying activities on behalf of its members.