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Become a Member

Dues: $360 per year - basic membership (an optional $125 for each additional category listing) due annually on January 1. Two contact names allowed per company. New members are required to remit a full year's dues with the application, with dues being pro-rated during the second year of membership.

* = required
Supplier & Manufacturer Info
* Name of Business:
* Representatives Name & Title:
Additional Name & Title:
* Address:
 
* City:
* State:
* Zip / Postal Code:
* Telephone Number:
Fax Number:
* Email:
Website:
* Describe your product or service:
characters remaining.
* Please indicate the category in which your company should be listed:
 Additional Category 1(Adding an additional category is $125 each):
 Additional Category 2(Adding an additional category is $125 each):
 Additional Category 3(Adding an additional category is $125 each):

FCC Regulation Affirmation
I understand that by checking this box, I consent to receive communications sent by or on behalf of the Roller Skating Association International and its subsidiaries or an agent working on behalf of RSA, including all RSA Chapters and Sections. I understand that in accordance with their privacy statement, RSA will not share my phone, fax, or email address with a non-related third party without my prior written authorization, as expressed in the the Telephone Consumer Protection Act and all subsequent revisions. Further, I understand that I can revoke this consent by contacting RSA in writing and allowing them 90 days to change my status with all subsidiaries and agents with whom they contract.
*

Consent and Payment
I hereby make application for membership in the Roller Skating Suppliers & Manufacturers (RSM) of the of the Roller Skating Association International and, if accepted, I agree to observe and maintain the rules set forth by this body.

I agree that entering my name and date affirms my consent.
* My Name: * Date:
(mm/dd/yyyy)

Payment 1: $360

For Payment 2, please select the appropriate amount based on the number of additional listings you submitted in the "Additional Categories" question above. If you did not select any additional listings, please choose "No Additional Listings" from the menu below.

* Payment 2: