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MEMBER APPLICATION To become a member of the Towing & Recovery Professionals of Louisiana Association, just Print and complete this application and return it to us with a check or money order for the amount listed in the pro-rated schedule below. It is not necessary for you to become a member of the association for us to process your work, however, by being a member, you will receive better rates(see price list) and help make this industry one person stronger and our voice one person louder!
Business Name________________________________________________________ Owner's Name (print)__________________________(sign)_______ __________ Contact Name_________________________________________ ________________ Physical Address____________________________City/St_____ ____Zip___ ___ (Storage facility) Mailing Address_____________________________City/St____ _______Zip___ ___ (If different) Business Phone____________________ __________Fax_______ _______________ Email: Web address: Type of Business Structure:___Sole proprietorship ___Partnership ___Corporation If you would like to charge your dues, we accept: Visa / MasterCard / American Express / Discover (circle one) Card #__________________ ______________Exp.__________ Your card will only be used for this purpose. Amount enclosed $____ ____ Customer Acct#
Send this completed form and your check to: T. R. P. L. P. 0. Box 46478 Baton Rouge, La. 70895-6478 T.R.P.L. membership dues are payable annually in September for the amount of $200.00. If you are joining in any other month than September, your dues will be pro-rated according to that month. In September, you will be invoiced for your annual dues. Please circle the month in which you are joining.January $136.00 February $120.00 March $104.00 April $88.00 May $72.00 June $56.00 July $40.00 August $24.00 September $200.00 October $184.00 November $168.00 December $152.00 Questions? Contact us
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