TEST Active Member Renewal Form with Monthly Option

Your Name*

Name of the 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.

Company ID

Headquarters address*

Street Address Address Line 2 City State ZIP Code

Primary membership contact:

Courtesy title (Mr./Ms./Mrs.)

First name*

Nickname

Last Name*

Title*

Work Phone*

Fax

Work email*

Company website

Dues Calculation

ASA dues are based on total U.S. revenues attributable to all staffing and employment-related services for the firm's most recently closed four fiscal quarters. This includes

Staffing firms that operate, have an ownership interest in, or are under common control with the applicant firm

Staffing firms operated by or affiliated with the applicant firm or its principals, including branch, franchised, and licensed offices or similar entities

My company’s total U.S. staffing and employment-related services revenue from the last four quarters*

Annual dues:

$0.00

Payment Options

Full Payment
Semi Annual
Monthly

*I authorize ASA to charge the credit card listed below for my semi annual payment on July 1, 2021.

Payment Information

Recurring Amount

Total

$0.00

Credit Card*

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 ZIP Code

*I certify that the information used to compute the above dues is true and correct. I hereby apply for membership in ASA and authorize ASA to charge current applicable membership dues. By joining ASA, my company 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.

Comments or questions

Why are you renewing your membership?

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 2021, 12% of dues revenue will be used for activities that cannot be deducted. Therefore, 88% of your dues may be deductible as a business expense for federal tax purposes.

Dues Verification

To ensure the accuracy of member dues, members may be asked to provide supporting information. ASA will notify members selected for dues verification. All information provided will be kept strictly confidential.

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Dues Calculation

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Dues Verification

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TEST Active Member Renewal Form with Monthly Option

Primary membership contact:

Dues Calculation

Payment Information

Dues Verification

Follow ASA on the web

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