International Concrete Repair Institute
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APPLICATION
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New Member: 
Renewal:  Membership ID:
Company: *
Name: *
Title: 
Address: 
Phone: 
Fax: 
E-mail: *
Web site: 
Sponsor: 
(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
Card #: 
Exp. date: 
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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 choose only specialties that fit within your company membership category.
Company specialties are searchable on ICRI's website for company members only.
Contractor Structural strengthening Joint systems Evaluation
Architectural repair Surface prep (as sub) Sealants Floors
Cathodic protection Surface sealing Sealers Foundations
Caulking Underwater Structural strengthening Heavy and civil structures
Cement grouting Waterproofing Tank linings High-rise structures
Cementitious overlays Material Manufacturer/
Distributor/Rep:		 Equipment Manufacturer/
Rep/Distributor:		 Parking structures
Chemical grouting Adhesives Accessories Petrographic analysis
Coatings Admixtures Cathodic protection Post-tensioning
Epoxy injection Anchors Grout pumping equipment Structural strengthening
Epoxy toppings Cement-based products High pressure water equip. Testing
Expansion joints Coating systems Injection equipment Underwater
Foundations Corrosion inhibitors Miscellaneous tools Utilities
Hydrodemolition Curing compounds Shotcrete equipment  Other repair-related specialities:
Masonry Elastomeric membranes Surface preparation equip.
Post-Tensioning Fibers Testing equipment
Shotcrete Floors Engineer/Consultant/
Architect
Slabjacking Grouts Bridges  Geographic area of work:
Spalls Joint and loop fillers Corrosion evaluation
 
 
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