TARC Membership Application

TARC Membership Application
Benefits of a TARC Membership:
- Company membership with up to (3) contacts
- Membership certificate
- Company listing in online membership directory
- Invitation to attend TARC sponsored events
- Oppportunity to serve on a board or a committee
Pre-Qualifications of a TARC Membership:
- Licensed
- Insured
- Drug-Free Workplace
- Safety Program in Place
- Bonded in state of Tennessee
Membership Type:

Licensed Contractor MembershipAssociate MembershipOther
Primary Contact*

First NameLast Name
Company Name:*
License Number(s):*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact Phone*
Please enter a valid phone number.
Office Phone
Please enter a valid phone number.
Primary Contact Email:*
This will be the email all communications will be sent to.
Second Contact Name:

First NameLast Name
Second Contact Email:
Third Contact Name:

First NameLast Name
Third Contact Email:

Payment Information

TARC Membership

$625.00

Total

$0.00

If you would prefer to pay by check, please mail within 10 days of submitting this form to TARC, P.O. Box 2945, LaGrange, GA 30241.
Should be Empty: