International Membership Renewal Form

Please complete the following and submit to ASA with your membership investment. If you have any questions, call 703-253-2020 or send an email to m*********@americanstaffing.net.

Your name*

Name of person submitting the form
Your work email*

Confirmation of submitting the form will be sent to this address.
Name of company (headquarters)*

This is how your information will appear on all association publications.
Headquarters Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of designated representative
Courtesy title (Mr./Ms./Mrs.):
First name*
Nickname
Last Name*
Title*
Phone*
Fax
Work email*
Company email
Company website
Calculation of Dues
Dues Investment*
- $1050
Payment Information
Credit Card*

American Express
MasterCard
Visa
Supported Credit Cards: American Express, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Cardholder Name*
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Phone
The American Staffing Association believes your right to privacy is important. Any credit card information furnished to buy ASA products or services will be used only as necessary to process payment and will not be shared with any other party except as may be required by law.
Certification
*
- I certify that the information used to compute the above dues is true and correct. By renewing my membership, I agree to abide by the ASA Code of Ethics and Good Practices and acknowledge that the terms and conditions of membership are governed by the ASA bylaws. If the firm renewing operates, has an ownership interest in, or is under common ownership with a U.S. staffing firm, I certify that the staffing firm is an active member of ASA in good standing.
  
  I also agree that ASA has permission to email and fax commercial messages to me and other employees at this firm and share my company name, address, phone and fax numbers, email, and website with its members and affiliated entities.
Tax Deduction
Dues and other contributions or gifts paid to ASA are not tax deductible as charitable contributions; however, they may be tax deductible as ordinary and necessary business expenses. Federal tax law disallows deductions related to certain types of lobbying and political activities. While most of ASA’s lobbying and political activities are not subject to this limitation, ASA estimates that in 2023, 15% of dues revenue will be used for activities that cannot be deducted. Therefore, 85% of your dues may be deductible as a business expense for federal tax purposes.

FOR COMPANIES OPERATING IN CANADA Canadian law requires that you consent to receive email from ASA. Select the box below to provide your consent.
- I agree to receive ASA-related emails, including Staffing Today, and emails about industry news, educational programming, legislative alerts, ASA Marketplace, and other business-related resources, at the email address that I provided above.
Comments or questions
Why are you renewing your membership?

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International Membership Renewal Form

Name of designated representative

Calculation of Dues

Payment Information

Certification

Financial Assistance for Staffing Agencies Under the CARES Act

International Membership Renewal Form

Name of designated representative

Calculation of Dues

Payment Information

Certification

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