Membership Application Form Upon completion of this application form and payment of dues you will become a member of an aggressive group of contractors and associate members that are "Dedicated to the professional conservation of our soil and water". New contractor dues - $225 per year.  -  Associate dues - $150 per year. Please mail your dues to: Iowa LICA 1310 8th Ave Independence, IA 50644 If you would prefer to mail in your application, click here. * denotes a required field. *Name:  Spouse's Name: *Company Name:  Email: Website address:                            Example: http://www.yoursite.com Address: City:   State: Zip: County: *Telephone #:     Fax #: Date of Birth (mm/dd/yy please): Who referred you to the LICA? Type of membership desired: Full Member    Associate member 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.

If you would prefer to mail in your application, click here.

For additional information, please contact, Dan Rasmussen at (319) 334-9884