2010 Calendar Year Membership Application
Company Name: __________________________________________________
Address / Site / Facility:_____________________________________________
City, State, Zip: ___________________________________________________
Company Telephone: ______________________ Fax:_____________________
Primary Contact: _________________________________________________
Direct Telephone: ___________________________
Primary E-mail Address: ______________________
Corporate Website Address: ________________________________________
Additional 3 Company Contacts Per Site:
Contact: _____________________________ E-mail: _________________
Contact: ____________________________ E-mail: _________________
Contact: _____________________________ E-mail: _________________
Membership dues $450.00 Per Year ($37.50 Month), Per Company Site, Subsidiary and /or Location! Multiple Sites and locations are required to each complete a membership form and pay dues per site, subsidiary and / or location. Dues are not prorated, nor discounted. All memberships renew the first of February.
1/2" x 3 1/2" (Card Size) Mail Service Provide and Mail Owner Advertisements.
For ONLY $50.00 additional per membership year.
Include 50-word copy (text), Logo-Badge and your company web-link for our MSP page.
Please provide ready art jpg logo-link-badge.
***Please Sign: Authorized Applicant Company Signature and Tile below for Opt-In to the NASML Company Member Directory Page: _______________________________
P O Box 14329 * Arlington * Texas * 76094 – 1329
NASML Tax ID Number: 20-2691786
All new and renewal members will be acknowledged upon receipt and processing of form and dues.