LIDLA MEMBERSHIP APPLICATION

LIDLA MEMBERSHIP APPLICATION

We/ I do hereby make application for membership in the Long Island Dental Laboratory Association, Inc. (LIDLA), and agree to abide by the Constitution and By-laws and Business Procedures of that association. This application is subject to approval by the executive board and or the members of the association.

Name of Laboratory or Firm_____________________________________________________________

Telephone ( )___________________________ Fax ( )____________________________

Address __________________________________________________________________________

__________________________________________________________________________

Town __________________________ County ____________________ Zip __________________

Name(s) of Proprietor(s) ____________________________ Home Phone ( )________________

________________________________________________ Home Phone ( )_________________

Number of years in business _______ What type laboratory _______________________________

Type of business (Sole Proprietorship/partnership/corporation) _______________________________

FILING FEE $5.00 (Annual Dues are $75.00 per Laboratory)

Rules for membership

Members are required to follow and abide by the Constitution and By-laws of the Association.
When participating in an association activity requiring payment, such payment must be sent to the treasurer at least 10 days prior to the activity; no reservations may be made by telephone. Members are expected to attend at least one executive board, general membership meeting or function organized by the association (i.e. Installation Dinner Dance, Fishing Trip, Golf Outing, etc.) each calendar year.
At each meeting or function, members are expected to present a business card. This card is retained and at each Installation Dinner Dance a drawing is held from the previous year's cards and a prize is awarded to the winner. No member failing to meet this requirement shall be eligible for inclusion in such drawing.

Mail To	Arthur D. Wilde, Esq.
	48-13 216 Street
	Bayside, NY 11364-1334