1400 N. Kellogg Drive, Suite A ▪ Anaheim, CA 92807 ▪ 714-779-3199 ▪ 714-779-3193 fax ▪ abcsocal.org Company Name: CA Contractor’s License #: Street Address: City: State: Zip: Mailing Address: City: State: Zip: Phone: Fax: Website: Owner/Principal: Title: Email*: Second Contact: Title: Email*: Other Contact: Title: Email*: Type of Work or Service: □ Commercial □ Industrial □ Instuonal □ Residenal Business Cerficaons (if applicable): □ DBE □ MBE □ SBE □ VBE □ WBE Referred by: On behalf of the above company, I hereby apply for membership with Associated Builders and Contractors, Southern California, Inc. as a □ Associate □ Supplier □ General Contractor □ Subcontractor Name (print): Signature: Date: Payment Opons: □ Check Enclosed (please make payable to ABC Southern California) □ VISA □ MasterCard Credit Card #: Exp Date: / CVV/CVC #: Signature: As a member of ABC you will receive noces about services, products and events by email. You may decline to receive such emails by subming a wrien request to the chapter office by email or at the address on this applicaon. ABC SoCal and ABC of California Polical Acon Commiees; funding mechanisms to donate from ABC members in the state of California to state and local elected officials, measures and candidates. Contractors for Free Enterprise is a voluntary contribuon dedicated to funding local and state legislave and regulatory issues by the Chapter including funding of ABC of California. # employees company wide / # at this locaon / (check box) Annual 1 Industry Professional □ $ 899 2 Associate □ $ 1,799 3 Supplier □ $ 1,799 4 $ 0 – $1 million □ $ 2,863 5 >$ 1 million to $ 3 million □ $ 3,555 6 >$ 3 million to $ 6 million □ $ 4,172 7 >$ 6 million to $ 10 million □ $ 4,790 8 >$ 10 million to $ 20 million □ $ 5,526 9 >$ 20 million to $ 50 million □ $ 6,146 10 >$ 50 million to $ 100 million □ $ 7,445 11 >$ 100 million to $ 250 million □ $ 8,799 12 Over $ 250 million □ $ 9,985 Subscribing Employer Fee $400 (per program) $ _________ □ Electrical □ Plumbing □ Sheet Metal □ EST/VDV You must be an ABC So-Cal member to use the above Apprence Programs. The Subscribing Employer Fee is in addion to membership dues. Suggested Contribuons ABC So-Cal PAC - 10% of Dues $ _________ Contractors for Free Enterprise - 10% of Dues $ _________ TOTAL AMOUNT PAID $ _________ be considered for membership by the Board of Directors, applicants must be listed in their proper dues category. Annual dues are based on the company's preceding year's gross volume. VOLUME is determined by total sales of applicant's most recently completed fiscal year, which includes subcontracted work, material and labor. INDUSTRY PROFESSIONAL: ( Firms that provide design services to contractors in the construcon industry (i.e. architects, developers, etc.) ASSOCIATE/SUPPLIER: ( 2-3 Firms that provide materials to contractors, shop or job sites and/or service to the construcon industry (i.e. aorneys, insurance companies, etc.) CONTRACTOR: Firms acve in the construcon field; prime and subcontractors in all types of construcon. ABC dues are non-refundable and not deducble as a charitable contribuon for Federal Income Tax purposes but may be parally deducble as a business expense. ABC esmates that for 2017, 18.99% of your dues are not deducble as they are related to lobbying acvies on behalf of its members. Your annu- al investment includes both local and naonal dues, unless otherwise noted.