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MEMBERSHIP APPLICATION
IOWA

NPMA and IPMA Joint Membership
for July 1, 2021 – June 30, 2022
Please fill out the form below or renew online at www.npmapestworld.org/renew.

FIRM LICENSE NO.

CONTACT NAME TITLE

STREET ADDRESS CITY STATE ZIP CODE

PHONE E-MAIL WEBSITE

ANNUAL REVENUE # OF EMPLOYEES YEARS IN BUSINESS

Dues Annual Sales NPMA IPMA Total Dues Annual Sales NPMA IPMA Total
Class Volume Dues Dues Dues Class Volume Dues Dues Dues
A $0 – 499,999 $185 $95 $280 H $1.5M – 1,999,999 $935 $95 $1030
B $500,000 – 599,999 $375 $95 $470 I $2M – 2,499,999 $1125 $95 $1220
C $600,000 – 699,999 $450 $95 $545 J $2.5M – 2,999,999 $1315 $95 $1410
D $700,000 – 799,999 $525 $95 $620 K $3M – 3,499,999 $1500 $95 $1595
E $800,000 – 899,999 $600 $95 $695 L $3.5M – 3,999,999 $1690 $95 $1785
F $900,000 – 999,999 $675 $95 $770 M $4M – 4,499,999 $1875 $95 $1970

G $1M – 1,499,999 $750 $95 $845 Over $5M - Call IPMA

TOTAL DUES $________

+ BRANCH OFFICES $________
(+$50 per branch)

TOTAL AMOUNT DUE $________

PAYMENT INFORMATION My check is enclosed: #___________
Please bill my: VISA MasterCard AMEX
Pay your dues online at:
www.npmapestworld.org/renew CARD NUMBER

Send the application and payment to: EXPIRATION DATE SECURITY CODE
National Pest Management Association
10460 North Street CARDHOLDER NAME
Fairfax, VA 22030
SIGNATURE

THANK YOU FOR YOUR SUPPORT!

Questions? Please contact IPMA at 515-708-6078 / iapestmgmt@yahoo.com / www.iowapest.org
or Alison Lindley with NPMA at 703-352-6762 / alindley@pestworld.org / www.npmapestworld.org

The National Pest Management Association estimates that one (1) percent of your total NPMA dues are allocated to
NPMA lobbying activities and therefore is not deductible. Be sure to consult your tax advisor with any questions.

IPMA Connection • 2nd Quarter, 2021 Page 9