Associate Member Program Application

Associate Member
Program Application

ACA Connects, America’s Communications Association (ACA Connects or ACAC), is a non-profit trade group representing the interests of independent communication companies. Thank you for your interest in becoming an ACAC Associate Member!

By joining ACA Connects, your company will support the continued viability of independent communications companies and gain access to exclusive Associate Member benefits outlined for you on the Associate Member Program page.

You may also choose to download the Associate Member Program Application and fill it out manually.

ACA Connects reserves the right to refuse any company membership within our organization.

Step 1 of 5

Company Information
Company Name*
Type of Business*
Contact Name for Membership*
First Last Title
Contact Person's Phone Number*
Contact Person's Mailing Address*
Street Address Address Line 2 City State ZIP Code
Contact Person's Email*

Company Listing for Website
Information on this page will be included in the online membership directory.
Company Name (exactly how you would like it listed)*
Contact Name*
First Last Title
Email*
Phone*
Web Address*
The web address must start with http://www. For example, https://www.acaconnects.org.
Company Logo
Please provide your company logo in vertical format. Your logo will be displayed on a white background so please make sure to send in appropriate color(s). Acceptable file formats are JPG, PNG, and PDF (minimum 500 x 500 pixels). A PDF in vector format is highly preferred. Maximum file size is 8MB. If you are unable to provide your logo now, please email a copy to Stacey Leech at sleech@acaconnects.org.
Drop files here or

Accepted file types: jpg, pdf, png.
Associate Member Program Level*
By joining ACA Connects, your company will support the continued viability of independent communications companies and gain access to exclusive Associate Member benefits outlined for you here, Associate Membership Program Benefits. Additional sponsorship opportunities are available on a first-come, first served basis and have an additional cost to participate. These opportunities are also listed at Associate Membership Program Benefits. Member fees are paid annually.
- Gold Level - $5,000
- Silver Level - $2,500
- Bronze Level - $1,500
Company description for website*
(25 words for Bronze Level; 50 words for Silver or Gold Level)

Company's Social Media Accounts
Twitter Handle
Facebook URL
LinkedIn URL
Instagram URL

Dues and Payment
Contact Name for Invoices*
First Last Title
Contact Address for Invoices
Street Address Address Line 2 City State ZIP Code
Contact Phone Number for Invoices*
Contact Email for Invoices*
Select a Method of Payment:*
- Pay by credit card
- Pay by check

Associate Membership Program Agreement
The Internal Revenue Service requires associations such as ours to estimate for their members the percentage of their dues that is being devoted to lobbying efforts. We estimate that in 2021, 12% of your dues will be used for lobbying purposes. The Association is a Pennsylvania non-profit corporation with tax exempt status.
By typing your name and by selecting the "I AGREE" button, you agree that you intend to sign this ACA Connects Associate Membership Program agreement on behalf of Entity and the act of typing your name and selecting "I AGREE" button servers as your electronic signature.
Name*
First Last
Date*
Date Format: MM slash DD slash YYYY
Confirm Your Agreement*
I AGREE

Associate MemberProgram Application

Step 1 of 5

Company Information

Company Listing for Website

Company's Social Media Accounts

Dues and Payment

Associate Membership Program Agreement

Associate Member
Program Application