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OAIMA Membership Application
Membership Type:
Please Choose:
Active/Producer - $730 minimum
Associate - $825
Company Information
Company Name
Office Address
Suite/P.O. Box
City
State
Zip
Phone
Fax
Website
Contact Information
First Name
MI
Last Name
Title
Email
Active/Producer Members Only - Additional Information
For Active/Producer Members, please complete the following additional information. You will be invoiced the remaining balance of your annual membership dues based on the number of plants and tonnage sold.
Plant Address
City
State
Zip
County
Phone
Fax
Product Type(s)
Sand
Stone
Slag
Salt
Recycled
Product or Business Description
For the following,
please provide number value only.
Alphabetical and special characters are not accepted in these fields.
Tonnage Sold (Previous Year)
Number of Plants
Number of Yards
- denotes required fields
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