Key Contact Title
Company Name
Street Address
Mailing Address
City State Zip
Telephone Fax
Email Address Website Address
CONTACTS
Please list name and email address for individuals in the following areas of responsibility.
HR Manager
Env./Safety Manager
Sales Manager
Financial Manager
Other contacts(if any), please include name, title and email address:
CONFIDENTIAL INFORMATION
Annual Sales Volume
Employee Count
Submitted sales figures are reviewed by PIA President only. All sales volume figures are for internal use only and are completely confidential. If sales volume figure cannot be supplied, your current total number of employees will be multipled by "sales per employee" figure from PIA Ratio Studies to determine a sales volume with which to calculate dues.
MEMBERSHIP CATEGORY
We are applying for (check one)
Active Membership (Engaged in one or more printing process or sub process, i.e. printing, finishing, mailing, prepress, pre media, corporate communications, in-plant printing, digital printing)
Associate Membership (Engaged in equipment, supply, consultant or other service business, education, print broker, i.e., paper vendors, equipment manufacturer, equipment supply or repair, environmental consultants, insurance, payroll or other service
Associate member sub-category(check one)
Industry Supplier
Business Services(insurance, accounting, etc.)
Consultant
Teacher/Education
Print Broker
Application is hereby made for election to combined membership in the PIA/GATF. We agree to cooperate with the Association in the furtherance of its objectives and abide by the Associatio's Bylaws. Membership in this Association may be terminated by volutary resignation, provided such resignation is tenered in writing and the member is in good standing, with dues paid to the date on which resignation is submitted.
Date
