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Indiana Construction Roundtable Indiana Construction Roundtable

Indiana Construction Roundtable

Indiana
Construction
Roundtable

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Membership Form

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Before we continue, let's make sure you are not already a member of ICR. Using the drop down below, see if you can locate your company or organization. If you don't find yourself, click the checkbox below and we will get you started with the application process.
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Primary ICR Contact*
Primary Contact is the person that we would reach out to for any membership-related questions and/or billing. The ICR Primary Contact will also be the assigned representative from your company to receive important, sometimes time sensitive, information about the association or industry.
If the Primary Contact Phone Number Is A Mobile Number, May We Contact Them Via This Number?
With your consent, ICR would like to send text (SMS) messages to the mobile number you have provided in our records. By providing your informed consent where indicated, you acknowledge that you have understood the information below and agree to participate in our text (SMS) messaging service.
Is the Primary Contact Also The Billing Contact?
Billing Contact Name*
If the Billing Contact Phone Number Is A Mobile Number, May We Contact Them Via This Number?
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President of Your Company*
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If the Company President Phone Number Is A Mobile Number, May We Contact Them Via This Number?
With your consent, ICR would like to send text (SMS) messages to the mobile number you have provided in our records. By providing your informed consent where indicated, you acknowledge that you have understood the information below and agree to participate in our text (SMS) messaging service.
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Mailing Address*
Please choose the best describer your business:*
Are you classified as an XBE?*
Your yearly membership fee is being prorated based upon your membership start date last year.
Credit Card Billing Address*
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
 
Invoice Receiving Name
For your records, an email confirming this transaction will be sent to the email address given.
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No payment is needed for your Membership type.
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317-686-2669

6510 Telecom Dr., Suite 200,
Indianapolis, IN 46278

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