Active Membership Application

Use the form below to submit your application for Active Membership.

(Looking for the Associate Membership Application? Click here.)

Delegate Information

Company Information

Additional Delegates

You may list up to two additional people for inclusion on the mailing list and in the Membership Directory.

Second Delegate

Third Delegate

Annual Dues

The amount of membership dues is based on the total number of Alabama employees.

For companies wanting to register subsidiares, please contact the ASIA office for dues structure.

Group Funds are $250.

No. of Alabama Employees Annual Dues
1 - 500 $150
501 - 1,000 $200
1,001 - 3,500 $275
3,501 - 5,000 $350
5,001 - 7,500 $450
7,501 - 10,000 $600
Over 10,000 $800

Payment Information

Dues paid to ASIA are not deductible as a charitable contribution,but may be deductible as an ordinary and necessary business expense. A portion of the dues, however, is not deductible as a business expense because of ASIA’s lobbying activities. The nondeductible portion is 25%. All contributions to COMP PAC are voluntary. COMP PAC is a non-partisn political action committee dedicated to helping conservative, fair-minded legislative and judicial candidates win election to office in Alabama.