Organization *

Please confirm your membership status for 2026: *

*Please reach out to our team at info@ameripen.org if your organization will not be renewing its membership in AMERIPEN.

My organization will be renewing its membership in AMERIPEN

Please confirm your membership type, tier, and dues for 2026: *

Affiliate Member | $ 10,000

Associate Member | $7,800

Company Member - Tier 1 (Global sales greater than $10 billion for most recently reported fiscal year.) | $30,000

Company Member - Tier 2 (Global sales of $1–10 billion for most recently reported fiscal year.) | $22,800

Company Member - Tier 3 (Global sales of $10 million–1 billion for most recently reported fiscal year.) | $15,000

Company Member - Tier 4 (Global sales of less than $10 million for most recently reported fiscal year.) | $7,800

First Name *

Last Name *

Title

Email *

Phone *

Billing Contact First Name *

Billing Contact Last Name *

Billing Contact Title

Billing Contact Email *

Billing Contact Phone *

Accounts Payable Process/Notes (if applicable): *

If your organization uses a third-party invoice processing system, please indicate which system and describe process here. If not applicable, please write in "N/A."

PO Number *

If a PO number is required by your organization, please list the PO number here for us to include on your invoice. If a PO number is not required, please enter "N/A."

Billing/Payment Schedule *

Please bill us on October 1, 2026, with payment due by December 31, 2026.

Please bill us on January 4, 2027, with payment due by March 31, 2027.

Please contact me to discuss other billing/payment options.

AMERIPEN Governance Documents *

As a reminder, please review AMERIPEN's Bylaws and Antitrust Policy and click below to confirm that you have read and will comply with them.

I have read and will comply with AMERIPEN's Bylaws and Antitrust Policy.