NORTHEAST FLORIDA ROOFING AND SHEET METAL

              CONTRACTORS ASSOCIATION, INC.

       2017 Membership Renewal/New Member Application

2017   New & Renewal  Membership Invoice

Date:________________________________________________________________

Company Name:_______________________________________________________
 

Address:_____________________________________________________________

City, State, Zip: _______________________________________________________

Phone #: ____________________________________________________________

Fax #: ______________________________________________________________

Cell #: ______________________________________________________________

E-mail Address: _______________________________________________________

Website:_____________________________________________________________

 
License #:____________________________________________________________

Company Contact:_____________________________________________________

Contact Birth Month:____________________________________________________

Preference to receiving communications (please choose one): ______e-mail ______fax

2017 Contractor Membership

Regular…$135.00 New or renewal of existing membership. You only pay for web services once.

Silver……$165.00 Includes a link from the NEFRSA website to your company website.

Gold…….$270.00 Includes a custom designed members homepage.

Platinum..$300.00 Includes a link to your company web site & custom designed members homepage.

2017 Associate Membership $165.00 Includes a link from the NEFRSA website to your company website.

Please Make Check Out To: NEFRSA

P.O. Box 10124

Jacksonville, FL 32247-0124

Thank You For Your Continued Support and Participation