Application for Membership
 

BUSINESS  NAME
ADDRESS
CITY
STATE
ZIP
PHONE
EMAIL
   
CONTACT  NAME
TITLE
will be our official representative to the Rhode Island Alarm and Systems Contractors Association
TYPE OF MEMBERSHIP
 
Active Membership
Burglar and/or Fire Alarm Company
$200.00 annual membership fee
Associate Membership
Manufacturer or Supplier of Equipment or Services to the Alarm Industry
$225.00 annual membership fee

RI STATE BUSINESS LICENSE #  

REQUIRED: List three (3) references, preferably one Rhode Island Alarm and Systems Contractors Association member, one manufacturer or supplier and one bank reference
  Business Name Contact Person Phone Number
1)      
2)      
3)      

Authorized Initials  
Title  
Date  

 

Please make checks payable to:
Rhode Island Alarm and Systems Contractors Association

and remit to:
Rhode Island Alarm and Systems Contractors Association
PO BOX 19347, Johnston, RI 02919