Industry Partner Applicationresultsbuilder2019-04-08T14:16:53+00:00 The Massachusetts Staffing Association’s mission is to promote and protect the interests of the Massachusetts staffing industry, its clients and its workers, across all sectors, through the promotion of high standards of legal, ethical and professional practices; education; and legislative advocacy.Name of Company* Address* Street Address Address Line 2 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 Name of Designated Representative* (Mr./Ms./Mrs.) Nickname* This individual will be sent all chapter mailings and information - only one per industry partner.Title* Phone*FaxCompany Website* Email* How did you hear about MSA?Company ProfileWhat is your primary reason for joining MSA?What year did your company open? What is your firm's total number of offices (including your principal location)? Please include principal location mailing address: Street Address Address Line 2 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 Does your company currently engage in rendering services to the staffing agency? Yes No If Yes, please explain.*Do you plan to offer any type of discount on your product/service to MSA Members? Yes No If Yes, please explain.*Qualifications for MembershipThe corporate headquarters office must be the joining, dues paying entity. Branch, franchised, and licensed operations are members through their corporate headquarters. The company applying for associate membership must be a supplier to the staffing industry. A firm may not qualify for industry partner membership if it operates or has any ownership in a staffing company (except ownership of less than 2 percent of a publicly traded company) unless the staffing company is an active member. MSA members with separate divisions, subsidiaries, or lines of business must enroll those separate operations as dues paying members for those operations to receive MSA benefits. The dues investment for associate membership is $750 annually. The membership year runs from Sep. 1 through Aug. 31. Industry partner membership is a non-voting membership in the association. Industry partner members and branch, franchised, and licensed operations of associate members are entitled to take advantage of member rates for all MSA publications and services including advertising and exhibiting. All changes in address and designated company representative must be submitted in writing to MSA on corporate letterhead by the current designated company representative. Resignations shall be made in writing and sent to MSA. Additional indebtedness will cease at the time of resignation. Resignations will be accepted as of the day they are received by MSA, but will not absolve the member of past indebtedness. Tax Deductions Contributions or gifts to MSA are not deductible as charitable contributions for tax purposes, but they may be deductible as an ordinary and necessary business expense. Please note that the law requires that the deductible amount of any trade association dues must be reduced to the extent the association incurs expenses during the year for certain specified legislative and political activities. For fiscal year MSA estimates that >60% of member dues will be used for such activities and therefore will not be deductible.Membership Level*Please choose one...Industry Partner Membership: $1,075.00Associate Partner Member - $1,575.00Silver Industry Partner Member - $2,500.00Gold Industry Partner Member - $7,075.00Platinum Industry Partner Member - $12,575.00Date MM slash DD slash YYYY Signature* I certify that the firm applying for membership has no current financial interest in a staffing agency and will abide by the MSA’s Code of Ethics to the extent they apply to Associate & Industry Partners.