New York Association of Approved Environmental Laboratories

Company	Name
Address Address 2
City	State	Zip
Phone	Fax
E-mail	ELAP ID #
Web Site Include a link to our web site from the NYAAEL site
Type of Lab Commercial -- -- Industrial -- -- Municipal

Amount Due
Commercial or Industrial Membership	$ 395.00
Municipal Laboratory Membership	$ 300.00
¹Associate Membership	at $45.00 each
Name(s):
Dues Periods Jan. 1 - June 30 - Full Dues July 1 - Sept. 30 - Half Dues Oct. 1 - Dec. 31 - Full Dues * Dues are not deductible as charitable contributions for federal income tax purposes. Dues may be used as ordinary and necessary business expenses. * for remainder of current fiscal year and next year
The laboratory membership entitles one designated representative per membership to receive mailings from the Association. Meetings and seminars may be attended by any lab personnel at the member price. ¹Associate memberships are limited to additional staff of member laboratories who wish to receive a separate mailing. NYAAEL TIN# 22-2786329

You will be billed for the amount due when we receive this application form. Alternately, you can print an application and mail it with your check.