Member Application - Rockheads USA

Company Name*

NSI Membership #

Name*

First Last

Email*

Work Phone*

Cell Phone*

Tax ID Number*

Mailing Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Primary Contact*

Yes
No

Are you NSI Accredited?*

Yes
No

Thank you for your interest in the Rockhead Group USA, LLC [RGU] , a privately owned trade council of the Best in Class stone fabricators. To ensure your company is a good fit for the Rockheads Group and vice versa, your application will go through a vetting process, which may include a background check, completion of a cultural assessment and/or interview(s).

NOTE:We will encourage your company be a member of the Natural Stone Institute (NSI), as well as has plans to become an NSI Accredited Fabricator.

Which membership type are you registering for?*

Rockhead Accelerator
Rockhead Platinum

Rockhead Accelerator Membership

ANNUAL REVENUE LOW | ANNUAL REVENUE HIGH | DUES

Please note your dues will be determined during the review of your application.

less than $4,000,000 | $4,000
$4,500,000 | $4,999,999 | $4,500
$5,000,000 | $5,499,999 | $5,000
$5,500,000 | $5,999,999 | $5,500

Rockhead Platinum Membership

ANNUAL REVENUE LOW | ANNUAL REVENUE HIGH | DUES

Rockhead Platinum Membership includes Benchmarking and flexibility with the participation of Rockhead Group Purchasing Programs. In addition, it includes up to 3 participants at the face-to-face meetings.

$6,000,000 | - | $7,500

Rockhead Platinum Membership includes Benchmarking and flexibility with the participation of Rockhead Group Purchasing Programs. In addition, includes up to 3 participants at the face-to-face meetings

Dependent upon your join date, your second year dues will be pro-rated to reflect the remaining months in the membership year which is January-December. After your pro-rated year, dues will be billed in December and due by January 31st of each year. Estimated Annual Revenues will be adjusted to the above dues schedule on an annual basis solicited by an independent survey.

NOTE: DUES ARE BASED ON YOUR CURRENT PROJECTED ANNUAL REVENUE, PLEASE MARK ACCORDINGLY.

Organizational Structure?*

LIST ANY PARTNERS/OFFICERS WITH OWNERSHIP INTEREST

Name

Email

Phone

Name

Email

Phone

Name

Email

Phone

LIST NAME(S), TITLE(S), & EMAILS FOR ANY MID-TIER MANAGERS?

Operations Manager Name

Email

Cell

Purchasing Manager Name

Email

Cell

Sales Manager Name

Email

Cell

Accounting Manager Name

Email

Cell

What is the number 1 reason your organization participates in the Rockheads?*

Best Practices
Benchmark Reporting
Group Purchasing
New Ideas
Social
Comfort in decision making
Individual Territories

What is the number 2 reason your organization participates in the Rockheads?*

Best Practices
Benchmark Reporting
Group Purchasing
New Ideas
Social
Comfort in decision making
Individual Territories

Annual Gross Revenue for last full year?*

Year applicant started business?*

LIST TRADE GROUP MEMBERSHIPS - EXAMPLE, HOMEBUILDERS ASSOC. ETC.

Association 1

Association 2

Association 3

BRANCH/SHOWROOM CENTERS INCLUDING CITY/STATE

Location Name*

City*

State*

Location Name

City

State

Location Name

City

State

BRANCH FABRICATION SHOPS INCLUDING CITY/STATE

Location Name*

City*

State*

Location Name

City

State

Location Name

City

State

More than 3 showrooms or fabrication shops?*

Yes
No

Type Of Cutting Process Used?

Sawjet
Waterjet
CNC Saw
Bridge Saw

Type of Routing Process Currently Used?

CNC Router
Hand Router
In Line Polisher

What is your primary line of business? (by category)*

What is your primary line of business? (by product)*

Natural Stone
Quartz
Ultra Compact/Porcelain
Solid Surface
Cabinets
Tile
Sinks
Other

Other Product

Do you stock slab goods?*

Yes
No

Do you service big box retailers?*

Yes
No

If you were referred by a Rockhead member enter their Company Name below

Company Name

First

Last

By applying for membership in the Rockhead Group you are giving permission for us to contact you via email and cell phone to deliver up-to-date member benefits.

I have read and agree to the terms of the Rockhead Group Member Services Agreement*

https://rockheadsusa.com/member-services-agreement/

I agree

I have read and agree to the terms of the Rockhead Group Mobile Messaging Terms and Conditions*

https://rockheadsusa.com/mobile-messaging-terms-and-conditions/

I agree

Signature:*

Please type your full name to sign electronically.

Date*

LIST ANY PARTNERS/OFFICERS WITH OWNERSHIP INTEREST

LIST NAME(S), TITLE(S), & EMAILS FOR ANY MID-TIER MANAGERS?

LIST TRADE GROUP MEMBERSHIPS - EXAMPLE, HOMEBUILDERS ASSOC. ETC.

BRANCH/SHOWROOM CENTERS INCLUDING CITY/STATE

BRANCH FABRICATION SHOPS INCLUDING CITY/STATE

If you were referred by a Rockhead member enter their Company Name below

By applying for membership in the Rockhead Group you are giving permission for us to contact you via email and cell phone to deliver up-to-date member benefits.

Useful Links

1401 Lavaca St #1146, Austin Texas 78701 | 800-705-5994