Iowa Chapter Of ALOA, Associate Application

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Please send all applications & checks to:

Roger Hamilton
309 Montgomery St
Decorah, IA 52101

* Please make all checks payable to Iowa Chapter of ALOA

RETURN THE APPLICATION AND THE ONE (1) YEARS ANNUAL DUES PLUS THE APPLICATION

Iowa Chapter of ALOA: Application for Associate Membership

Associate Member Any company who is involved and/or engaged in the security or security hardware field, or assists and/or supports the locksmith trade of any company engaged in the security hardware industry.

Associate Member Application The Associate Member is limited to the owner or manager (name on application). The Associate Member may not vote, cannot hold office, will receive publication (Tumbler Tribune), and an ad in each publication (Tumbler Tribune).

Please fill out this form online and print.

COMPANY NAME:
COMPANY ADDRESS:
CITY:
STATE:
ZIP CODE:
PHONE #

Mailing address/email for "Tumbler Tribune" publication to be sent:

COMPANY ADDRESS:
CITY:
STATE:
ZIP CODE:
EMAIL:

Company Description:

Manufacturer
Distributer
Wholesaler
Retailer

CONTACT NAME:
TITLE:
CONTACT ADDRESS:
CITY:
STATE:
ZIP CODE:
PHONE #
Number of years associated with the locksmith industry:

I STATE THAT ANY & ALL INFORMATION GIVEN ON THIS APPLICATION IS TRUE & CORRECT.
I UNDERSTAND THAT MY MEMBERSHIP MAY BE CANCELLED AT ANY TIME IF ANY INFORMATION
FOUND HEREIN IS FALSE & ALL MONIES ARE FORFEITED. I FURTHUR STATE THAT I WILL ABIDE
BY THE RULES, REGULATIONS & BY-LAWS OF THE Iowa Chapter of ALOA.

SIGNED_________________________________ DATE _____________

THE FOLLOWING ARE THE ANNUAL DUES:

ASSOCIATE MEMBER $100.00

Business Card Must Be Attached

RETURN THE APPLICATION AND THE ONE (1) YEARS ANNUAL DUES PLUS THE APPLICATION
FEE TO Roger Hamilton, Address is located at the bottom of this application!

APPLICANT- DO NOT WRITE BELOW THIS LINE

DATE APPLICATION RECEIVED______________ BY_____________________________

DATE DUES RECEIVED ______________________BY______________________________

DATE OF FIRST READING_______________ DATE OF SECOND READING___________

DATE APPLICATION ACCEPTED______________ BY______________________________

DATE APPLICATION REJECTED______________ BY______________________________

DATE DUES RETURNED _____________________ BY______________________________

MEMBERSHIP NUMBER _______________

COMMENTS:

Please send all applications & checks to:

Roger Hamilton
1309 Montgomery St
Decorah, IA 52101

* Please make all checks payable to:
Iowa Chapter of ALOA