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Membership Application

Company Information
Company Name*
Name of Parent Company (if applicable)
Mailing Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Telephone*
Fax
Website*
If you company does not have a website, enter "none" in this field.
Primary Contact Information
Name*
FirstLast
Job Title*
Email Address*
Direct Telephone*
Chief Executive Information
Name*
PrefixFirstLastSuffix
Job Title*
Email Address*
Direct Telephone*
Billing Contact Information
Name*
PrefixFirstLastSuffix
Job Title*
Email Address*
Direct Telephone*
Number of Employees at Your Location*
FAA Certificate Number (if applicable)
EASA Certificate Number (if applicable)
Other Certificate (name & number)
How I Heard About ARSA*
Specify "other" or name of ARSA member referral (if applicable)
Membership Category*
- Regular Member (Repair station with 1-10 employees): $600.00
- Regular Member (Repair station with 11-25 employees): $1,200.00
- Regular Member (Repair station with 26-50 employees): $1,800.00
- Regular Member (Repair station with 51-200 employees): $3,000.00
- Regular Member (Repair station with 201 or more employees): $3,600.00
- Associate Member: $1,200.00
- Corporate Member: $18,000.00
- Individual Member: $300.00
Category descriptions available here.
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Aeronautical Repair Station Association
121 North Henry Street | Alexandria, VA 22314-2903
703.739.9543 | arsa@arsa.org
Copyright 2013