Review the 2012 membership options 1. Begin the registration process by completing the contact information listed below:
2. Review the 2012 membership options and mark your selection where indicated below: (See the 2012 associate membership brochure for details of benefits)
Bronze Membership Cost..............................................................$360 Silver Membership Cost................................................................$665
Gold Membership Cost..................................................................$975
3. Please indicate your business' PRIMARY product and/or service offered.
4. Please List any ADDITIONAL products and services your business offers. These will be shown at the foot of your online listing.
None Accounting/Auditing Architectural Services Billing/Data/Records Systems and Consulting Computer System Software/Equipment/Consulting Construction/Construction Consulting Electical Equipment/Supplies Electrical Generation/Distribution Equipment Energy Efficiency Consulting/Equipment Energy Producing/Marketing Engineering Services Environmental Services Equipment Repair/Protection Equipment Sales/Leasing/Rental Equipment Testing Financial Consulting/Investment/Banking GIS Services Human Resources/Benefit Planning Insurance/Risk Management Internet Services Laboratory Testing - Electrical Laboratory Testing - Water Lighting Management Consulting Meter Testing - Electric Meter Testing - Gas Natural Gas Engineering Natural Gas Equipment/Supplies Natural Gas Marketing/Consulting Pole Sales/Inspection Power Plant/Substation Equipment & Maintenance Safety Equipment/Consulting Telecommunication Consulting/Equipment Tranformer Maintenance/Reconditioning Uniforms/Clothing Vehicles/Heavy Equipment Water Distribution Equipment Water Tower Construction/Maintenance Water Treatment Consulting/Equipment Wastewater Collection Systems Wastewater Consulting/Equipment Well Construction/Maintenance Wind Energy Consulting/Equipment
None Accounting/Auditing Architectural Services Billing/Data/Records Systems and Consulting Computer System Software/Equipment/Consulting Construction/Construction Consulting Electical Equipment/Supplies Electrical Generation/Distribution Equipment Energy Efficiency Consulting/Equipment Energy Producing/Marketing Engineering Services Environmental Services Equipment Repair/Protection Equipment Testing Equipment Sales/Leasing/Rental Financial Consulting/Investment/Banking GIS Services Human Resources/Benefit Planning Insurance/Risk Management Internet Services Laboratory Testing - Electrical Laboratory Testing - Water Lighting Management Consulting Meter Testing - Electric Meter Testing - Gas Natural Gas Engineering Natural Gas Equipment/Supplies Natural Gas Marketing/Consulting Pole Sales/Inspection Power Plant/Substation Equipment & Maintenance Safety Equipment/Consulting Telecommunication Consulting/Equipment Tranformer Maintenance/Reconditioning Uniforms/Clothing Vehicles/Heavy Equipment Water Distribution Equipment Water Tower Construction/Maintenance Water Treatment Consulting/Equipment Wastewater Collection Systems Wastewater Consulting/Equipment Well Construction/Maintenance Wind Energy Consulting/Equipment
5. Gold Membership Purchasers - Please enter information about your company and/or your products and services (one paragraph, maximum 200 words.)
GOLD and SILVER associate members: Please email your logo (JPG format, if possible) as soon as possible to: John Burnett jburnett@iamu.org (Your logo will be displayed as part of your directory listings)
Quantity
Price
Total
Grand Total Due (All applicable sales tax has been included)
This is your invoice. No statement will be mailed.
IAMU now accepts payment by credit card. To pay by credit card, please enter a phone number where an authorized representative of your company can be reached to obtain necessary information. A representative of IAMU will call this number.
Please enter phone number for credit card payment here: (this phone number is only necessary if you are paying by credit card.) (Please note: A $15 fee per transaction will be assessed for credit card purchases.)
If not paying by credit card, you will be invoiced upon receipt of this registration form.
Contributions or gifts to IAMU are not tax deductible as charitable contributions for income tax purposes
IAMU's mission is the betterment of municipal utilities in the state of Iowa. In extending associate member privileges to a business, it is implied and understood that said business will also strive for the same. IAMU retains the right to deny or discontinue associate membership for a business if its objectives or practices are deemed by IAMU to be contrary to the best interests of the association and its member utilities.
1735 NE 70th Ave., Ankeny, Iowa 50021 800.810.IAMU 515.289.2499 fax webmaster@iamu.org email
To support and strengthen Iowa's municipal utilities