Print this form, calculate your dues, and return it to:
Yolo TMA 
P. O. Box 969
Woodland, CA 95776


 
Company Name 
______________________________________________
Contact Name 
______________________________________________
Address 
______________________________________________
City 
____________________    Zip  ____________
Phone 
______________    Fax  _________________
Number of Employees 
_____________   Dues  $________________



 
Dues are annual and based on the number of
full-time equivalent (FTE) employees at the work site.
Number of Employees
 
Dues
0-9
 
$100
10-25
 
$200
26-50
 
$300
51-100
 
$500
101-250
 
$750
251-500
 
$1,000
501-1,000
 
$1,250
1,001-1,500
 
$1,500 + $0.10 per FTE
1,501-2,500
 
$1,750 + $0.075 per FTE
2,501 +
 
$2,000 + $0.05 per FTE