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GOVERNMENT INFORMATION MUNICIPALITY NAME___________________________________________________________________________________ ADDRESS_______________________________________________________________________________________________ CONTACT_________________________________________ PHONE______________________DATE___________________ EMAIL____________________________________________ SIGNED______________________________________________ LOCAL GOVERNMENT REGISTRATION THE 26th ANNUAL VAA FALL ASPHALT CONFERENCE The Jefferson Hotel * Richmond, Virginia For Room Reservations call: The Jefferson Hotel 101 West Franklin St. Richmond, VA. 23220 PH: 800-424-8014 www.jeffersonhotel.com Deadline September 16, 2013 Registration Deadline September 23, 2013 Return Form to: Virginia Asphalt Association, 6900 Patterson Ave., Richmond, VA. 23226 or [email protected] Five Continuing Education Credits Awarded For Day Two Attendance. Name Day 1 Day 2 10/7/13 10/8/13 Both 1:00 to 5:00 9:00 to 5:00 Total No. Employees Aending Early Registraon Fee (Prior to Sept. 2) X 15.00 X 35.00 X 50.00 Total Payment Per Session (Early Reg.) $ $ $ Total Payment Due $ Registraon Fee (Sept. 2 & Aſter) X 25.00 X 55.00 X 75.00 Total Payment (Normal Reg.) $ $ $ Total Payment Due $

LOCAL GOVERNMENT REGISTRATION THE 26th ANNUAL …Blair Asphalt LLC. Branscome, Inc. Branscome Eastern Shore. Branscome Richmond. Branscome Paving Company. Chemung Contracting Corp

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Page 1: LOCAL GOVERNMENT REGISTRATION THE 26th ANNUAL …Blair Asphalt LLC. Branscome, Inc. Branscome Eastern Shore. Branscome Richmond. Branscome Paving Company. Chemung Contracting Corp

GOVERNMENT INFORMATION

MUNICIPALITY NAME___________________________________________________________________________________

ADDRESS_______________________________________________________________________________________________

CONTACT_________________________________________ PHONE______________________DATE___________________

EMAIL____________________________________________ SIGNED______________________________________________

LOCAL GOVERNMENT REGISTRATION

THE 26th ANNUAL

VAA FALL ASPHALT CONFERENCE

The Jefferson Hotel * Richmond, Virginia

For Room Reservations call:

The Jefferson Hotel

101 West Franklin St.

Richmond, VA. 23220

PH: 800-424-8014 www.jeffersonhotel.com

Deadline September 16, 2013

Registration Deadline September 23, 2013

Return Form to: Virginia Asphalt Association, 6900 Patterson

Ave., Richmond, VA. 23226 or [email protected]

Five Continuing Education Credits Awarded For Day Two Attendance.

Name

Day 1 Day 2

10/7/13 10/8/13 Both

1:00 to 5:00 9:00 to 5:00

Total No. Employees Attending

Early Registration Fee (Prior to Sept. 2) X 15.00 X 35.00 X 50.00

Total Payment Per Session (Early Reg.) $ $ $

Total Payment Due $

Registration Fee (Sept. 2 & After) X 25.00 X 55.00 X 75.00

Total Payment (Normal Reg.) $ $ $

Total Payment Due $

Page 2: LOCAL GOVERNMENT REGISTRATION THE 26th ANNUAL …Blair Asphalt LLC. Branscome, Inc. Branscome Eastern Shore. Branscome Richmond. Branscome Paving Company. Chemung Contracting Corp

2013 Proud Members of the Virginia Asphalt Association

Contractors Asphalt Roads & Materials Co. B & S Contracting, Inc. Blair Asphalt LLC Branscome, Inc. Branscome Eastern Shore Branscome Richmond Branscome Paving Company Chemung Contracting Corp. Colony Construction, Inc. Curtis Contracting, Inc. Francis O. Day Co., Inc. Independence Construction Materials Lanford Brothers Company, Inc. Lee Hy Paving Corp. Maymead, Inc. Moffett Paving & Excavating Corp. National Asphalt Mfg. Corp. Sawyer Paving B. P. Short & Son Paving Co., Inc. Southern West Virginia Paving, Inc. Superior Paving Corp. Templeton Paving Virginia Paving Company W-L Construction & Paving, Inc. West Virginia Paving, Inc. S. L. Williamson Co., Inc.

Associate Contractors Placement Contractors Blakemore Construction Corporation Forty-Two Contracting, Inc. APAC-Atlantic, Inc.Kickin Asphalt Paving & Sealing, LLC

Milling Contractors Dominion Paving & Sealing, Inc. Slurry Pavers, Inc.

Pavement Marking Contractors American Road Marking, LLC KVWV Traffic Control, Inc. Payne’s Parking Designs, Inc. Roadmark Corp. Sandra’s Marking Co. t/a SANMAR CO. Spivey Pavement Marking, Inc.

Specialty Contractors Bunn Enterprises, Inc. Landsaver Environmental

Asphalt Supplier Associated Asphalt, Inc. Bitumar USA NuStar Asphalt LLC Valero Marketing & Supply Company

Aggregate Suppliers Boxley Luck Stone Corporation Martin Marietta Aggregates Pounding Mill Quarry Vulcan Construction Materials

Specialty Binders & Haulers Asphalt Emulsions, Inc. Blacklidge Emulsions, Inc. Fleet Transit, Inc. Hammaker East Corporation Whitehurst Transport, Inc.

Additives Akzo Nobel American Paving Fabrics, Inc. Black Rock Crushing Epoplex Hi-Tech Asphalt Solutions, Inc. MWV Specialty Chemicals, Asphalt Innovations QPR Engineered Solutions for Infrastructure Road Science, A Divison of ARR-Maz Custom Chemicals, Inc. Seaboard Asphalt Products Company 3M

Equipment Companies Astec, Inc. Carter Machinery Co., Inc. Gencor Industries, Inc. Heatec, Inc. James River Equipment Maxam Equipment, Inc. Richmond Machinery & Equipment Company, Inc. Roadtec, Inc. Spivey Rentals, Inc. TransAuthority

Testing Firms & Testing Equipment Advanced Asphalt Technologies, LLC Humboldt Manufacturing Company

Petroleum Distributors FCC Environmental PAPCO, Inc.

Architects, Engineers & Consultants Bert & Ernie, LLC Consultants JVR Environmental, LLC Pavement Design & Engineering Consultants, Inc. Pavia Systems A. Morton Thomas & Associates, Inc.

Finance, Bonding, Insurance & Legal Rees Broome PC Rutherfoord, a MMA Company Scott Insurance Tabb, Brockenbrough & Ragland

TO JOIN OUR GROUP

Contact Caroline Fahed at [email protected]

Or visit our website at vaasphalt.org