Association Resource Group
13790 East Rice Place, Suite 100
Aurora, Colorado 80015
(303) 693-0133
www.associationresource.net
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Affiliate Group Membership Application
Today’s Date: __________________________________
General Information
Name of Organization/Association: ______________________________________________
Mailing Address: ___________________________________________________________
Telephone: _____________________ Fax: ___________________ E-mail:_____________
Contact Person: __________________________Website address:_______________________________
Association Details
1. Please describe the purpose of the organization (mission statement):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
2. Type of Organization: Association State Association Club
Race Facility Youth Group Other
3. Other information about your organization:
______________________________________________________________________________________
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4. Number of current members: _______________ Anticipated increase %:___________________
5. Number of members by type of membership (if applicable):
________Regular dues paying members $__________Dues (annual)
________Associates/Affiliates $__________Dues
________Officers and Directors $__________Dues
________Corporate $__________Dues
________All other (describe below) $__________Dues
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6. When was the group formed: _________________________ Founded: _______________________
Incorporated: _______________________ Tax-Exempt status attained: ____________
7. Please show the approximate growth of members:
____________Current membership year
____________1st previous year
____________2nd previous year
8. Do you aggressively recruit market and advertise for new members? ____Yes ____No
9. Describe in detail any membership criteria:
______________________________________________________________________________________
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10. Do you sponsor or sanction events? ____Yes ____No
11. Do you publish a magazine, journal or newsletter? ___Yes ___No
If yes, how often is it distributed? _________________________________________________
12. Is your organization an affiliate or associate of another equine group? ___Yes ___No
If yes, which group(s):__________________________________________________________
13. Does the group seek or solicit corporate sponsors for financial support? ___Yes ___No
14. Does the group hold an annual convention or special events? ___Yes ___No
If yes, please describe: _________________________________________________________
______________________________________________________________________________________
Association Membership Benefits:
15. What insurance coverage does the group currently carry?
______________________________________________________________________________________
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16. Effective dates of policies described above:
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17. What benefits, products and services do members of the group currently receive through their membership?
______________________________________________________________________________________
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18. What benefits/products are you interested in offering your membership?
______________________________________________________________________________________
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Annual Affiliate Group membership dues are $100.00
Please include a business check with this application and mail to:
Association Resource Group or ARG
13790 E Rice Place, Suite 100
Aurora, CO 80015
_____________________________________________ _______________________________
Signature of authorized officer Title
_______________________________________________
Print Name
Other items of interest to your association:
(Please circle all that apply)
- Accident Insurance
- Assistance Creating Association By-Laws
- Car Rental Discounts
- Dental Insurance
- Disability Insurance
- Information on How to Run an Effective Association Meeting
- Pre-Paid Legal Service
- Vision Insurance
