Missouri LICA Membership Renewal

Thank you for renewing your support of Missouri LICA!

Please update any contact information, as needed.

Membership Type:*

Contractor MembershipCompany Associate MembershipSupporting Membership

Contact Name:*

First NameLast Name

Company Name:*

Phone:

Please enter a valid phone number.

Cell Phone:

Please enter a valid phone number.

Email:

example@example.com

Maiing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

2nd Contact Name:

First NameLast Name

2nd Contact Phone:

Please enter a valid phone number.

2nd Contact Email:

example@example.com

2nd Contact Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

3rd Contact Name:

First NameLast Name

3rd Contact Phone:

Please enter a valid phone number.

3rd Contact Email:

example@example.com

3rd Contact Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Spouse's Name:

First NameLast Name

Missouri County:

Website (if applicable):

example@example.com

Birth Date:

Date

Products/Services:

(Will be used for complimentary listing in the MLICA Annual Directory and web site - please limit to 75 words)

How did you hear about Missouri LICA?

Work Categories (check all that apply):

Equipment (Check all that apply):

Terms of Membership*

Company Associate Terms*

Payment by Credit Card

Contractor MembershipAny person engaged in owning and operating construction equipment in the field of land improvement . A contractor membership includes membership in a state district; the state chapter; the National Land Improvement Contractors of America (National LICA), and the National LICA Region IV.

$350.00

Auxiliary MembershipAny spouse of a LICA member. The Auxiliary membership fees support the scholarship fund, as well as Auxiliary activities.

$15.00

Company Associate MembershipAny person, firm or corporation dealing in materials, equipment or services incidental to the land improvement industry, but not eligible for a contractor membership.

$300.00

Supporting MembershipAny person genuinely and sincerely interested in the furtherance and promotion of sound land improvement practices; any sales person of an associate member dealing in the sale of materials, equipment or services incidental to the land improvement; and any contractor over the age of 70.

$75.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card