Application Form

Name of Company:
Address of Company:
Telephone:
Fax:
Email: 
Website:
Year Established:
No. of Employees (Excluding Director):
Products / Services Offered:
Brand Names:
 

Category of Membership

Current Annual Subscription Category
Manufacturers
Total Sales Revenue Up to: Per Annum
$25,000.00 $126.50
$100,000.00 $517.50
$250,000.00 $759.00
$600,000.00 $1,063.75
$1,000,000.00 $1,633.00
$2,000,000.00 $1,897.50
$3,000,000.00 $2,012.50
$8,000,000.00 $2,300.00

Total Sales Revenue Over: 
$8,000,000.00  $2,875.00
 

Associate Members: (i.e. Service Companies)

 $1, 633.00

Affiliate Members:

 $1, 633.00
 
Name of Delegate to Represent the Company at Meetings of the Association
Mr. / Mrs. / Ms.
Chairman / Managing Director / Manager
Date:
 
Note: Companies joining between 1 May and 31 October of any given year may pay half the full subscription for that year.