Membership Application Join Rubberized Asphalt Foundation Questions? Please call 480-990-9451 * = Required Fields Thank you for your interest in RAF. Please complete our application form to join. Once submitted, you will get an e-mail to verify that we received your application. Organization Name* Name* Title* Email Address* Telephone Mailing Address City State —Please choose an option—AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming Postal Code Country —Please choose an option—AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosniaBotswanaBougainvilleBrazilBritish Indian OceanBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape Verde IslandsCayman IslandsCentral African RepublicChadChileChina, Hong KongChina, MacauChina, People’s RepublicChina, TaiwanColombiaComorosCongo, Democratic Republic ofCongo, Republic ofCook IslandsCosta RicaCote d’IvoireCroatiaCubaCyprus Czech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaeroe IslandsFalkland IslandsFederated States of MicronesiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambia, TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly See (Vatican City State)HondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People’s RepKorea, Republic ofKosovoKuwait KyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMorocco MozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwanda Saint BarthelemySaint HelenaSaint Kitts & NevisSaint LuciaSaint MartinSaint Pierre & MiquelonSaint VincentSamoaSan MarinoSao Tomé & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTimor LesteTogoTokelau IslandsTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of GB & NIUnited States of AmericaUruguayUS Virgin IslandsUzbekistanVanuatuVenezuelaVietnamWallis & Futuna IslandsYemenZambiaZimbabwe How did you hear about RAF? Type of Leader Founder $15,000Sponsor $10,000 Type of Member Organization – Level 1 $5,000Organization – Level 2 $2,500University/Nonprofit Association $500Individual/Nonaffiliated $250 Print and Fill Out Paper Form Download PDF Sending Payment to RAF Mail check to: Rubberized Asphalt Foundation C/O George Way 8609 E. Hubbell St. Scottsdale, Arizona 85257 Domestic and international electronic payment/transfer is also available. Please contact RAF for details. To help us prevent SPAM, please type the characters you see below.
