Active Member Renewal Form

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*

Please enter a number greater than or equal to 1.

Annual dues:

$0.00

Payment Options

Full Payment
Semi Annual

Authorize Charge

I authorize ASA to charge the credit card listed below for my semi annual payment on July 1, 2023.

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 annual sales figures used to complete the above dues are true and correct. By renewing my company’s membership, my company will 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. In addition, I acknowledge that my firm can demonstrate it has a process in place for making lawful worker classification decisions and assumes responsibility for these decisions. 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.

I understand that my company’s membership dues are not refundable and dues payments must be paid in full. If the semiannual payment plan is selected, I agree to make the second payment on or before July 1, 2023. In the event my company is sold or merged with another firm, I understand that my company is still responsible for the remaining balance of its membership dues.

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 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.

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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Active Member Renewal Form

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Dues Calculation

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