1400 N. Kellogg Drive, Suite A ▪ Anaheim, CA 92807 ▪ 714-779-3199 ▪ 714-779-3193 fax ▪ abcsocal.org

Company Name: CA Contractor’s License #:

Street Address: City: State: Zip:

Mailing Address: City: State: Zip:

Phone: Fax: Website:

Owner/Principal: Title: Email*:

Second Contact: Title: Email*:

Other Contact: Title: Email*:

Type of Work or Service: □ Commercial □ Industrial □ Institutional □ Residential

Business Certifications (if applicable): □ DBE □ MBE □ SBE □ VBE □ WBE

Referred by:

On behalf of the above company, I hereby apply for membership with Associated Builders and Contractors, Southern California, Inc. as a

□ Associate □ Supplier □ General Contractor □ Subcontractor

Name (print): Signature: Date:

Payment Options: □ Check Enclosed (please make payable to ABC Southern California) □ VISA □ MasterCard

Credit Card #: Exp Date: / CVV/CVC #:

Signature:

As a member of ABC you will receive notices about services, products and events by email. You may decline to receive such emails by submitting a written request to the chapter office by email or at the address on this application.

ABC SoCal and ABC of California Political Action Committees; funding mechanisms to donate from ABC members in the state of California to state and local elected officials, measures and candidates.

Contractors for Free Enterprise is a voluntary contribution dedicated to funding local and state legislative and regulatory issues by the Chapter including funding of ABC of California.

# employees company wide / # at this location

/

(check box) Annual

1 Industry Professional □ $ 899

2 Associate □ $ 1,799

3 Supplier □ $ 1,799

4 $ 0 – $1 million □ $ 2,863

5 >$ 1 million to $ 3 million □ $ 3,555

6 >$ 3 million to $ 6 million □ $ 4,172

7 >$ 6 million to $ 10 million □ $ 4,790

8 >$ 10 million to $ 20 million □ $ 5,526

9 >$ 20 million to $ 50 million □ $ 6,146

10 >$ 50 million to $ 100 million □ $ 7,445

11 >$ 100 million to $ 250 million □ $ 8,799

12 Over $ 250 million □ $ 9,985

Subscribing Employer Fee $400 (per program) $ _________

□ Electrical □ Plumbing □ Sheet Metal □ EST/VDV

You must be an ABC So-Cal member to use the above Apprentice Programs.

The Subscribing Employer Fee is in addition to membership dues.

Suggested Contributions

ABC So-Cal PAC - 10% of Dues $ _________

Contractors for Free Enterprise - 10% of Dues $ _________

TOTAL AMOUNT PAID $ _________

be considered for membership by the Board of Directors, applicants must be listed in their proper dues category. Annual dues are based on the company's preceding year's gross volume. VOLUME is determined by total sales of applicant's most recently completed fiscal year, which includes subcontracted work, material and labor.

INDUSTRY PROFESSIONAL: ( Firms that provide design services to contractors in the construction industry (i.e. architects, developers, etc.)

ASSOCIATE/SUPPLIER: ( 2-3 Firms that provide materials to contractors, shop or job sites and/or service to the construction industry (i.e. attorneys, insurance companies, etc.)

CONTRACTOR: Firms active in the construction field; prime and subcontractors in all types of construction.

ABC dues are non-refundable and not deductible as a charitable contribution for Federal Income Tax purposes but may be partially deductible as a business expense. ABC estimates that for 2017, 18.99% of your dues are not deductible as they are related to lobbying activities on behalf of its members. Your annu-al investment includes both local and national dues, unless otherwise noted.