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Membership Application

To qualify for membership to Staffing Services Association of Illinois (SSAI) you will be required to be in compliance with the SSAI Code Of Ethics enacted by the founding members of the SSAI. Click here to review the Code of Ethics now.

All members are also required to be properly licensed with the State of Illinois, Department of Labor and if required with your local municipality. Once your annual membership dues are determined and paid you will be allowed access to our "members only" Internet site and will be included in our benefits and services.

Company Name: *

Contact Person: *

Contact's Email: *

Street Address: *

Street Address 2: *

City: *

State: *

Zip Code: *

Company Phone: *

Company Fax: *

Company Website:

Company Information

Last Year's Gross Sales: *

Number of Full Time Employees: *

Number of Temp. Employees: *

Number of Clients Served Last Year: *

Number of Illinois Locations: *

Number of National Locations: *

Annual Dues

SSAI annual dues are predicated on the honor system from your reported gross annual sales from the previous calendar year. The dues schedule is listed below. Please indicate your applicable membership annual dues by placing a check in the appropriate box. Please make this check payable to SSAI. (With the Board of Directors approval, monthly membership payments can be arranged.)

Select Annual Dues: *

$2 Million Gross Sales last year = $750.00 Annual Dues

$2 Million - $5 Million Gross Sales last year = $1500.00 Annual Dues

$5 Million - $10 Million Gross Sales last year = $2500.00 Annual Dues

$10 Million Gross Sales last year = $5000.00 Annual Dues

P.A.C. Contribution

A "political action committee" (PAC) is a very important part of the legislative process. The SSAI-PAC is a monetary fund set up by the founding members for the purpose of making political contributions to candidates in elective office. All contributions are made voluntarily. By pooling individual contributions through SSAI-PAC, we can have a greater impact on political campaigns than any one of us could be acting alone. Equally important, our contributions serve as a reminder to lawmakers that the light industrial staffing industry is both politically aware and actively involved. A board consisting of a Chairman, Executive Director and Treasurer leads our PAC. All contributions collected are in turn contributed to legislators who will work to advance our legislative agenda. SSAI-PAC donations help insure access to key decision makers who will determine the light industrial staffing industries future. PAC contributions are not tax deductible or charitable.

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If you selected "Other" above, please indicate an amount:

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