California Delivery Associations P. O. Box 1608 Placerville, California 95667-1608 n (530) 644-8570 n FAX (530) 644-5487

MEMBERSHIP APPLICATION  (Print & Complete)

Yes! We would like to apply for membership in the Association as a
Regular Member   Associate Member

 

Name of Company

 

Contact

 

Address

 

City

 

State                                    Zip

 

Phone                              Fax

 

Email Address

 

Web Site Address

 

Referred by

 
Brief Business Description of services and/or items handled:

Number of Vehicles in operation: _____________

Year began doing business: _________________

CA Number: _____________________________

Company is: sole proprietorship
     partnership  corporation

Workers Compensation Insurance Carrier:

Dues Payment:

Regular Membership - Carriers
Enclose check for $________, which includes $50 initiation fee and $________ for quarterly dues (see page 2). Dues are paid quarterly (first year is prorated, depending on the date of the application).

Associate Membership - Vendors
Enclose a check for $300 for first or partial year dues (subject to quarterly proration). Dues are paid annually.

Please list reason for joining and state if you would be willing to serve on any committees:

If accepted as a member, we agree to abide by the CDA Bylaws and Code of Conduct

Signed: __________________________________

Date: ____________________________________

For CDA Use Only

Date Received: __________________________

B.O.D. Action: __________________________

Date Notified: ___________________________

 

REGULAR MEMBERSHIP DUES
California Delivery Association
Gross Annual Revenues (Dollars)
(California Operations) 		Annual Dues Quarterly Amount
Over Not Over
0 500,000 $315 $78.75
500,000 1,000,000 $630 $157.50
1,000,000 5,000,000 $786 $196.50
5,000,000 10,000,000 $1,050 $262.50
10,000,000 25,000,000 $1,312 $328.00
25,000,000 50,000,000 $1,970 $492.50
50,000,000   $3,940 $985.00

Using your browsers print button, print this application, complete all sections and mail with a check for your membership fees, to:

Association of Messenger and Courier Services
P.O. Box 1608
Placerville, CA 95667-1608

Tel: (530) 644-8570
Fax:(530) 644-5487