2015-2016 Joint-Membership Dues Now is the time to get ready for the coming year as proud informed members of NYPMA and NPMA. There is now one association representing NYSPMA, PPMANYC and LIPCA. All dues go to both NYPMA and NPMA as part of our joint membership agreement and are due by April 1, 2015. Please provide a copy of your DEC Business Registration. Each member firm is asked to submit their dues payment based on the annual gross receipts of pest control services rendered in this state. We need your email address. Company Name: ____________________________________________________________________________________ Address: _________________________________________________________________________________________ Phone#:_________________________________________________Fax#:_________________________________________ E-mail:__________________________________________________________________________________________ PLEASE UPDATE **NEWSLETTER AND ALERTS WILL ONLY BE SENT BY EMAIL** Principal Represenative: _______________________________________________Title: ____________________________ NYPMA 2015-16 MEMBERSHIP DUES Dues Annual TOTAL Class Sales Volume DUES A..........$0 - $200,00.............................. $310 B..........$200,001 - $500,000................ $450 C..........$500,001 - $1,000,000............. $790 D..........$1,000,001 – $2,500,000.......... $1,100 E..........$2,500,001 - $5,000,000.......... $1,675 F...........$5,000,001 - $10 Million........... $3,575 G..........$10,000,001 - $15 Million......... $5,295 H..........$15,000,001 - $25 Million......... $7,165 I...........$25,000,001 - $50 Million......... $12,830 J...........Over $50 Million........................ $24,580 q New q Renewal CODE OF ETHICS qTo hold our industry in high esteem and to enhance its prestige. qTo maintain high company standards of responsibility, character and integrity. qTo practice honesty and fairness in advertising and in all transactions with our clients. qTo render skilled, intelligent and conscientious service to our clients, keeping the needs of our client upper most at all times. qTo render pest control services safely and efficiently in keeping with good practices. qTo be loyal to the principles of our association and active in its advancement. qTo respect the reputation and practice of other member firms. qI hereby attest that I will uphold and adhere to the New York Pest Management Association code of ethics. OPTIONAL NYPMA PAC CONTRIBUTION ________YES, Our company supports the legislative program efforts of the NYPMA Political Action Committee (NYSPMA PAC) by making a voluntary contribution of: $ ___________ TOTAL MEMBERSHIP PAYMENT ENCLOSED: $ ___________ (80% of NYPMA Dues may be deductible. PAC monies are not!) Phone: 877.521.7378 • Fax: 973.992-5823 • Email: info@newyorkpma.com qI would ike to charge my dues PLEASE REMIT PAYMENT BY APRIL 1, 2015 WITH THIS FORM TO: NYPMA 911 Central Ave., PMB 218 Albany, NY 12206 1/20/15 NAME ON CARD______________________________________________________ CREDIT CARDS ACCEPTED CARD NUMBER______________________________________________________ (CIRCLE ONE) EXP. DATE __________________________SECURITY CODE______________________ SIGNATURE_______________________________________________________________ qMy dues check is enclosed CHECK # _________________