IRCA Application for Contractor Membership Please complete and return to: Indiana Roofing Contractors Association 910 N. Highland Avenue Indianapolis, IN 46202 (O) 317-635-2928 (F) 317-685-8876 (C) 317-439-4169(E) [email protected] Company name Street address P.O. Box City State ZIP Telephone Toll-free Fax Email address Website Authorized representative Signature General information: Percentage of work performed: Residential Please check type of work performed:  Steep-slope roofing %  Low-slope roofing Title/Primary Job % Commercial  Metal roofing  Shingle Slate/ Tile  Other _________________ D&B (D-U-N-S) number, if applicable: Referred by, (required): Members of what other roofing associations (Please list): Are you (or one of your employees) interested in volunteering to participate on an IRCA committee or task force?  Yes, please contact me.  No, not at this time. Annual Membership Dues IRCA membership dues are based on your company’s annual sales volume for all roofing, sheet-metal, waterproofing and roof deck work. Sales volume selections and figures are strictly for IRCA sole use and will not be released or published. Please check the appropriate category: Selection      Revenue Less than $1 million $1 - $5 million $5 - $10 million $10 - $20 million More than $20 million Method of Payment Annual Dues $150 $150 $150 $150 $150  Check (Payable to the Indiana Roofing Contractors Association)  VISA  MasterCard  American Express ( http://www.indianaroofing.org/Payment.htm ) Thank you for applying for membership!. Your application will be reviewed by our board of directors. Questions? Please call the IRCA (317) 439-4169 IRCA Member Pledge • Provide customers proof of a permanent place of business, including street address, telephone number, tax identification number and where appropriate, a business license • Exhibit professionalism, quality workmanship and readily offer customer references • Provide liability and worker’s compensation insurance coverage for each roofing job • Identify the roofing manufacturers with whom my company has licensed or approved applicator agreements • Commit to worker education and safety training, including compliance with OSHA regulations • Provide detailed written proposals, descriptions of the work to be performed, start and completion dates in addition to payment policies and procedures • Honor contracts to the best of my company’s ability • Provide properly maintained and clean job site • Stand behind my company’s work, offering warranties and/or guaranties, where appropriate • Make recommendations to customers about increasing energy efficiency As an IRCA member contractor, my company pledges to honor the above business practices.