Arkansas Roofing Association Membership Application
Thank you for your interest in membership with the Arkansas Roofing Association.
MEMBERSHIP TYPE
*
Contractor
Associate
MEMBER INFORMATION
FIRST AND LAST NAME
*
First Name
Last Name
COMPANY NAME
*
ROLE/TITLE
*
BUSINESS ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
BUSINESS PHONE
*
Please enter a valid phone number.
Format: (000) 000-0000.
BUSINESS EMAIL
*
example@example.com
BUSINESS WEBSITE
*
ORGANIZATION INFORMATION
OWNER FIRST AND LAST NAME
*
First Name
Last Name
YEARS IN BUSINESS
*
Less than 2 years
2+ years
5+ years
10+ years
20+ years
NUMBER OF EMPLOYEES
*
ANNUAL REVENUE - (previous year)
*
$500,000 and Under
$500,000 - $1M
$1M - $2M
$2M - $3M
$3M - $4M
$4M - $5M
$5M - $10M
$10M and Above
Associate Member
AR CONTRACTORS LICENSE NUMBER
*
DOES YOUR COMPANY HOLD GENERAL LIABILITY AND WORKERS COMPENSATION INSURANCE?
*
General Liability
Workers Compensation
None of the Above
Other
CONTRACTOR CLASSIFICATION
Residential
Commercial
Residential and Commercial
DOCUMENTS
Please make sure to upload ALL documents in their correct form. If you have any issues uploading documents please email us WITH attached documents to complete your application.
This document represents the official Membership Agreement of the Arkansas Roofing Association. Kindly review it attentively. Should you find complete agreement with its contents, please signify your assent by signing below.
Signature
This document represents the official Membership Requirements of the Arkansas Roofing Association. Kindly review it attentively. Should you find complete agreement with its contents, please signify your assent by signing.
*
This document represents the official Code of Ethics of the Arkansas Roofing Association. Kindly review it attentively. Should you find complete agreement with its contents, please signify your assent by signing.
*
Arkansas Business License
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Contractors License
*
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GL & WC Proof Insurance
*
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Company Logo
*
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Business Reference 1
*
Include First and Last name, Company name, and Contact Number.
Business Reference 2
*
Include First and Last name, Company name, and Contact Number.
Business Reference 3
*
Include First and Last name, Company name, and Contact Number.
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