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STATEMENT
16541 Redmond Way 324C / Redmond, WA 98052 |
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Statement date________________________________ |
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STATEMENT
16541 Redmond Way 324C / Redmond, WA 98052 |
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Statement date________________________________ |
Keep a photocopy for your records and return original to AROW office
| Firms employing one to three persons (including owner) | $400.00 |
| Firms employing four to ten persons (including owner) | $485.00 |
| Firms employing eleven to twenty persons (including owner) | $550.50 |
| Firms employing twenty-one or more persons (including owner) | $625.00 |
| Associate Members (non-auto dismantlers only) | $350.00 |
Please write down the number of employees you have ________
APPROPRIATE AMOUNT DUE FOR YOUR FIRM: $___________ (Please fill in and pay according to schedule above)
The dues year is January 1 - December 31, 2009
Please make any corrections below:
| Contact Name: | _____________________________________ |
| Company Name: | _____________________________________ |
| Address: | _____________________________________ |
| City, State, Zip: | _____________________________________ |
| Phone: | _____________________________________ |
| Fax: | _____________________________________ |
| _____________________________________ | |
| Website address: | _____________________________________ |
Your specialty (i.e. 4 x 4, Fords only, etc.):
___________________________________________________________________________________________________________________
Please return this form with your CHECK and a copy of your CURRENT WRECKER’S LICENSE:
AROW, 16541 Redmond Way 324C
Redmond, WA 98052