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38800 Country Club Dr., Farmington Hills, MI 48331 Phone: (248) 848-3780 Fax: (248) 848-3740 E-mail: info@shotcrete.org Website: www.shotcrete.org MEMBERSHIP APPLICATION Name/Main Contact: _________________________________________________ Title _______________________________________ Company_________________________________________________________________________________________________________ Address __________________________________________________________________________________________________________ City / State or Province / Zip or Postal Code _____________________________________________________________________________ Country _____________________________ Phone ______________________________ Fax ________________________________ E-mail _________________________________________________ Website ________________________________________________ Please indicate your category of membership: o Corporate $750 NOTE: Dues are not deductible as charitable contributions o Supporting Association $500 for tax purposes, but may be deductible as a business expense. o Individual $250 o Additional Individual from Corporate Member $100 o Employee of Public Authorities or Agencies Free o Student Free (Requires copy of Student ID card or other proof of student status) Company Specialties—Corporate Members Only Complimentary copy of “Safety Guidelines for Shotcrete” Company Specialties are searchable in the printed and online Buyers Guide. Please indicate preferred format: oprotected pdf ohardcopy Admixture Sales Consulting Contractors, contd. Equipment, contd. oAccelerating oDesign oRock Bolts oGuide Wires oAir Entraining oEngineering oRock Carving oGunning Machines oFoaming oForensic/Troubleshooting oSeismic Retrofit oHoses oRetarding oProject Management oSewers oMixers oShrinkage Compensating oQuality Control Inspection/Testing oSkateparks oNozzles oSpecial Application oResearch/Development oSlope Protection/Stabilization oPipe/Elbows/Reducers oStabilizing oShotcrete/Gunite oSoil Nailing oPlastering oWater Proofing oSkateparks oStorage Tanks oPre-Dampers oWater Reducing-Accelerating oSwimming Pools/Spas oStructural oPumps oWater Reducing-High Range oSwimming Pools/Spas oRobotic oWater Reducing-Mid Range Contractors oTunnels oSafety/Protection oWater Reducing-Normal oArchitectural oWalls oSilo Systems oWater Reducing-Retarding oCanal Lining oWater Features oValves oWater Repellent oCulvert/Pipe Lining oWear Plates oDams/Bridges Equipment Sales Fibers/Reinforcement Sales Cement/Pozzolanic Material Sales oDomes oAccessories oCement-Blended oFlood Control/Drainage oAdaptors oCarbon oGlass oCement-Portland oFoundations oAir Vibrators oSteel oCement-White oLagoons oBowls oSynthetic oFly Ash oMining/Underground oClamps oWelded Wire Mesh oGround/Granulated Slag oParking Structures oCompressors oMetakaolin oPumping Services oCouplings Shotcrete Materials/Mixtures Sales oPozzolan oRefractory oEquipment Repair/Refurbishment oDry Mix oSilica Fume-Dry oRepair/Rehabilitation oFeeder/Dosing oSteel-Fiber Reinforced oSilica Fume-Slurry oResidential oFinishing oSynthetic-Fiber Reinforced oWet Mix Please indicate state(s)/province(s) served: ____________________________________________________________________________ Payment Method: o MC o Visa o Check enclosed (U.S. $) Name on card ___________________________________________ Signature _______________________________________________ Card#_____________________________________________________________________ Expiration date _______________________ Shotcrete • Spring 2015 79


2015SpringShotcreteEMag
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