or complete the online form below. (For additional contacts, please submit this form and then complete it again.)Company Name(Required) Name(Required) First Last Title(Required) Type of Business(Required) Mailing Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Recruited By Phone Number(Required)Fax Number# of Arkansas Employees(Required)NAICS#(Required) Associated Industries of Arkansas is the industrial group of the State Chamber. Occasionally an issue will arise of greater importance to the manufacturing sector than to general business, so AIA may pursue it. If your company is an AIA member, you are automatically included in the membership of ASCC as well. Send completed membership form and payment to:Arkansas State Chamber of Commerce/Associated Industries of Arkansas, P.O. Box 3645, Little Rock, AR 72203-3645. For additional information, contact Marcus Turley at 501-210-4203.CommitteesIf you are interested in serving on any of the following committees, please check below: Education Energy Task Force Health Care National Issues Tax Unemployment Insurance/HR Workers' Compensation General Program Rates EMPLOYEES 1-10 11-25 26-35 36-50 51-75 76-100 101-plus DUES $350 $600 $850 $1,150 $1,400 $1,700 $2,750 Dues Payment Method(Required) Check to be sent Sent Invoice Visa MasterCard AMEX Discover Pinnacle ProgramStep up today as a PINNACLE member and take your place as a leading power in Arkansas’s business and industry community.PINNACLE Level (optional) $35,000+ APEX $25,000 SUMMIT $10,000 PEAK $5,000 CROWN Contribution to the State Chamber PACIn dollarsContribution to the AIA PACIn dollarsPACS Payment Method(Required) Check to be sent Sent Invoice Visa MasterCard AMEX Discover