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 are kept VERY LOW at $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 for joining in any month following the month of February each year or any other time during the! 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: _________________________________________________
Return Form and Dues Payment: 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.