PAVEMENT COATING TECHNOLOGY CENTER (PCTC)

MEMBERSHIP APPLICATION

MEMBERSHIP TYPES

I. VOTING MEMBERSHIP

A. Coatings Manufacturer is open to any producer of pavement coatings. A manufacturer of pavement coatings must be a member in this category. Annual Dues: $1,250 including one plant plus $500 for each additional plant to a maximum of $3,750.

B. Supplier Membership is open to any supplier to the Coatings Manufacturer. Annual Dues: $1,250.

C. Voting Membership is open to any other company or agency interested in the advancement of the pavement coatings industry.

II ASSOCIATE MEMBERSHIP

Associate membership is open to any company, agency or individual interested in the advancement of the pavement coatings industry.

While members in this category have no voting privileges in any PCTC deliberations, members are entitled to participate in various activities

of the PCTC and to enjoy publications and training courses at reduced costs. Annual Dues: $125.

THIS COMPANY, AGENCY, OR INDIVIDUAL HEREBY APPLIES FOR MEMBERSHIP:

Voting Membership: Coating Manufacturer

  Supplier Membership

General Membership

Non-voting Membership: Associate Membership

Company:   Products/Services Provided: .

Street:

City: State: Zip: .

Phone: Fax: Other manufacturing locations: .

Official Rep: .

Title: .

Alternate Rep: .

Title: .

Technical Rep: .

Title:

Make Check Payable to:

Board of Regents

Mail Your Application and First Year’s Dues to:

Dr. Peter E. Sebaaly

Department of Civil Engineering/258

University of Nevada

Reno, NV 89557