Associate Membership Application Default

Associate Membership Application

Instructions

Associate Members

Associate Members can be trade associations wishing to participate in AMERIPEN activities. A key interest for associations will be the ability to participate in our government affairs activities, both within AMERIPEN and as part of our outside policy and lobbying efforts.

Please Note:

Associate Members are non-voting members of AMERIPEN.
Dues for Associate Members are $7,800, assessed on a calendar basis. Dues will be pro-rated based on the quarter in which a new member joins.
Associate membership is subject to approval by the AMERIPEN Board of Directors.
New members are invoiced based on billing instructions once the application is approved.

Select An Option

Associate Membership $7800 Annually

Associate Membership

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist