International Concrete Repair Institute
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APPLICATION
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New Member: 
Renewal:  Membership ID:
Company: *
Name: *
Title: 
Address: 
Phone: 
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E-mail: *
Web site: 
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(if applicable) 
Dues: (see schedule) 
Chapter Dues: 
(if applicable) 
Non-North American surchage:  (Click if outside U.S., Canada, or Mexico)
TOTAL: 
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Check: Visa MC AmEx
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If you wish, you may mail or fax this information to:
ICRI
PO Box 3085
Farmington Hills, MI. USA
Phone: (248) 848-3809
Fax: (248) 848-3711
E-mail: info@icri.org

You can also download a pdf version of the Membership Application here.
INSTITUTE MEMBERSHIP DUES SCHEDULE
 COMPANY MEMBERSHIP CATEGORIES
$2915 SUPPORTING MEMBER
 Gross Income
 (repair related)		 <$1m $1.1m-2.5m $2.5m-5m >$5m
 Contractor $325 $585 $1,170 $1,750
 Manufacturer $325 $585 $1,170 $1,750
$325  Engineer
$325  Consultant
$325  Distributor
$180  Architect
$180  Manufacturer's Rep.
$150  Facility Owner
$150  Government Agency
$150  Union
$100  Additional Individual from member company
 INDIVIDUAL MEMBERSHIP CATEGORIES
$150  Individual
$80   Government Employee*
$80   Educator*
$75   Retired**
$10   Student/Apprentice*

*Verification of status required -
provide copy of I.D. or other documentation.
**Any member that has reached age 65 and has been a member of ICRI
for at least 5 years.

CHAPTER MEMBERSHIP DUES SCHEDULE
 Arizona $55  New England $40
 Baltimore-Washington $45  North Texas $40
 Carolinas $55  Northern California $40
 Central Florida $40  Northern Ohio $40
 Chicago $50  Ohio River Valley $40
 Connecticut $40  Pacific Northwest
 (OR, WA, BC)		 $55
 Delaware Valley
 (PA, NJ, DE)		 $35  Pittsburgh $30
 Florida West Coast $55  Puerto Rico $25
 Georgia $40  Quebec Prov. (US Dollars) $20
 Great Plains (KS, MO, NE, IA) $40  Rocky Mountain $50
 Hellenic (Greece) (US Dollars) $50  Southern California $50
 Houston $40  Southeast Florida $40
 Indiana $50  Southwest Florida $50
 Iowa/Illinios $40  Virginia $40
 Metro New York $40  Western NY $30
 Michigan $35  Wisconsin $40
 Minnesota $45    
**CHAPTER MEMBERSHIP REQUIRES INSTITUTE MEMBERSHIP

COMPANY SPECIALITIES
Company memberships: Please complete the following information pertaining to your business so that we may refer inquiries to you.
Contractor Spalls Joint systems Evaluation
Architectural repair Structural strengthening Sealants Floors
Cathodic protection Surface prep (as sub) Sealers Foundations
Caulking Surface sealing Structural strengthening Heavy & civil structures
Cement grouting Underwater Tank linings High-rise structures
Cementitious overlays Waterproofing Equipment Manufacturer/
Rep/Distributor:		 Parking structures
Chemical grouting Material Manufacturer/
Distributor/Rep:		 Accessories Petrographic analysis
Coatings Adhesives Cathodic protection Post-Tensioning
Epoxy injection Admixtures Grout pumping equipment Structural strengthening
Epoxy toppings Cement-based products High pressure water equip. Testing
Expansion joints Coating systems Injection equipment Underwater
Coatings Curing compounds Miscellaneous tools Utilities
Foundations Corrosion inhibitors Shotcrete equipment  Other repair-related specialities:
Hydrodemolition Elastomeric membranes Surface preparation equip.
Masonry Fibers Testing equipment
Post-Tensioning Floors Engineer/Consultant/
Architect
Shotcrete Grouts Bridges  Geographic area of work:
Slabjacking Joint & loop fillers Corrosion evaluation
 
 
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