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Membership Application

You can fill out the form below or fill out the printable membership document*
and fax it to PDA at (816) 472-7765.

*Requires Adobe Acrobat Reader.

Polyurea Development Association
400 Admiral Blvd
Kansas City, MO 64106
Phone: (816) 221-0777
Fax: (816) 472-7765

COMPANY INFORMATION
Company Name:
Street address:
Mailing address (if different from above):
City:
State/Province:
Country:
Zip/Postal code:
Telephone:
Facsimile:
Company website:
PRIMARY COMPANY CONTACT
Name:
Title:
Telephone (if different from above):
ext.
Facsimile:
E-Mail:

ALTERNATE CONTACT
Name:
Title:
Telephone (if different from above):
ext.
Facsimile if different from above):
E-Mail:
MEMBERSHIP INFORMATION
Membership Categories:

Raw Material Supplier - $3000/year
Additive Supplier - $1200/year
Raw Material Distributor - $800/year
Equipment Supplier - $800/year
Equipment Distributor - $800/year
Formulator / System Supplier - $800 / year
Consultant - $400/year
Contractor/Applicator/Owner - $250/year
Academic/Government/Student - $100/year
Independent Sales Representative - $250/year
Architect, Engineer, or Specifier- $125/year
Associate - $250/year

Number of Employees: 1-25
26-100
101-500
501-1000
Over 1000
General Interests (Select all that apply) Technical Information
Market Information
Equipment Information
Application Training
Health, Safety, & Environmental
Other 
Market Interests (Select all that apply) Construction Products
Truck Bed Linings
Caulks and Sealants
Molding
Other 
Please tell us about your company. List the type of service you provide or equipment you sell.
Would you be interested in taking part in a PDA Committee? Please select the committee you're interested in:
Technical (Safety/Health, Training/Certification)
Marketing (Marketing, Product Certification, Editorial)
Membership (Membership, International Chapters)
Other Interests?  
Do you have questions or comments?
If accepted as a member in the Polyurea Development Association, I agree to abide by the Bylaws of the Association, and pay all duly levied dues and assessments.  Yes
PAYMENT METHOD
Name on Card:
Please charge my: VISA
Mastercard
American Express
Account Number:
Expiration Date:
Total: $

**Please note that your initial membership will include a $25 application fee.
 

 

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Polyurea Development Association
400 Admiral Blvd. Kansas City MO 64106
816.221.0777 Phone
816.472.7765 Fax
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Alliances:
PDA China Polyurea Development Association Europe
The Polyurea Development Association (PDA) membership includes companies ranging from raw materials suppliers and distributors, formulator/system suppliers, contractors/applicators, end-users and consultants. Other membership categories include architects, engineers, equipment suppliers and distributors, additive suppliers and independent sales representatives. Polyurea is defined by the PDA as: A polyurea coating / elastomer is that derived from the reaction product of an isocyanate component and a resin blend component. The isocyanate can be aromatic or aliphatic in nature. It can be monomer, polymer, or any variant reaction of isocyanates, quasi-prepolymer or a prepolymer. The prepolymer, or quasi-prepolymer, can be made of an amine-terminated polymer resin, or a hydroxyl-terminated polymer resin.