Membership Application Form
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Be a part of an aggressive group of contractors and associate members who are
"Dedicated to the professional conservation of our soil and water".To become a member please print and complete this form and send it and your membership dues to the address below.
Name________________________________ Spouse's Name___________________
Email________________________________
Website address_________________________________
Company Name_________________________________________________________
Address_______________________________________________________________
City__________________________ State______________________ Zip________
County______________________________ Telephone #______________________
Date of Birth______/______/______ Fax #___________________________
Please include my company's information on the website: Yes_____ No_____
Please check the boxes below that best represent your line of work.
Associate member applicants need not complete this section.
Erosion Control Earth Moving Sewer and Water Tiling Concrete Structures Site Removal Clearing and Grubbing Excavation Materials Surfacing Paving Asphalt or Concrete Haul with Dump Trucks Irrigation Underground Storage Tanks On Site Waste Treatment Landscaping Open Ditch Work Septic Systems Bridges and Culverts Water Wells Sewage Treatment Terraces Land Leveling Forest Management Water Management Directional Boring Cable Installation Road Crossings Horizontal Earth Drilling Rock Production Trench Plow Cable Demolition Seeding Ask an Iowa LICA member about the membership guarantee.
New contractor dues - $225 per year. - Associate dues - $150 per year.
Please mail your application and dues to:
Iowa LICA
1310 8th Ave
Independence, IA 50644For additional information, please contact, Dan Rasmussen at (319) 334-9884