Membership Form

  • POLICYHOLDER'S INFORMATION:

  • CONTACT TO RECEIVE ANNUAL RENEWAL INVOICES:

  • CONTACT TO RECEIVE WORKPLACE SAFETY UPDATES & RESOURCES:


  • ANNUAL DUES: $100.00*

    INSURANCE AGENT'S INFORMATION:

  • This field is for validation purposes and should be left unchanged.

*NOTE: THIS FORM IS PROVIDED FOR YOUR CONVENIENCE, YOUR RESPONSES WILL NOT BE TRANSMITTED FOR MEMBERSHIP ACTIVATION.
AN EMAIL WILL SEND YOU A COMPLETED PDF APPLICATION TO BE MAILED WITH THE $100 DUES CHECK TO:
(PAYABLE TO “TEXAS ASSOCIATION OF MANUFACTURERS”)
PO BOX 50565, AUSTIN, TX 78763

Notice: Contributions or dues to the Texas Association of Manufacturers (TAM) are not tax-deductible as charitable contributions. However, they may be deductible as ordinary and necessary business expenses. A portion of these dues are not deductible as an ordinary and necessary business expense to the extent that TAM engages in lobbying activities. The nondeductible portion of dues beginning with the year 2006 is 80%.

  • TAM’s Federal taxpayer identification number: 20-3945491 (Please call 512.745.2815 for a copy of TAM’s W-9 Form)
  • TAM’s Texas taxpayer identification number: 32017486864

Please contact Stacy Looney at 512.906.2000 or [email protected] with questions regarding this application.

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© 2019 Texas Association of Manufacturers Workers’ Compensations Purchasing Group

Texas Association of Manufacturers
Austin, Texas
(512) 906-2000

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