-------------------------APPLICATION FOR MEMBERSHIP-------------------------
All fields marked with an
*
are required to create your account.
CLASS OF MEMBERSHIP YOU ARE REQUESTING
(Check one):
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Distributor
Supplier
Multi-Line Representative
Firm Name:
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Tel. #
*
Address:
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800. #
City:
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Fax. #
*
State:
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Zip: #
*
Email:
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Web site:
REPRESENTATIVE'S NAME
(Person who will represent firm to SAAGNY).
*
Title:
*
ALTERNATE REPRESENTATIVE
Title:
Address:
Tel. .#
City:
Fax. #
State:
Zip:
Email:
Web site:
Date company established
*
Approximate specialty advertising products sales volume last year $
*
Company's UPIC #
Name of sponsor (if any)
MEMBERSHIP REQUIREMENTS:
Established for at least one year
Doing business with five industry Distributors or Suppliers
If not a member of PPAI, you must supply five (5) invoices (for other than sample goods) from Distributors or Suppliers with whom you do business.
Minimum annual specialty advertising products sales volume:
Distributor Member: $50,000;
Supplier Member: $100,000
SUPPLIER REPRESENTATIVES MUST:
Be in the business of providing sales representation to Distributors for one or more firms who: (1) Do their own invoicing (2) Are a Supplier Member of SAAGNY or PPAI.
Attach list of at least five (5) current Distributor or Supplier members who know the applicant.
MEMBERSHIP DUES: $150.00 Annual
Application Fee: $25.00 (non-refundable) for new and re-instated applicants.
Membership dues are paid on a calendar basis from the first day of the month after your application is approved.
P
lease include full payment of dues and application fee with your Membership Application.
METHOD OF PAYMENT:
*
REMITTANCE
: To process membership, complete information below:
*
Charge My
*
MASTER CARD
VISA
AMEX
AMOUNT $
*
CARD NO.:
EXP. DATE
CARDHOLDER'S NAME (Print)
I hereby apply for membership in the Specialty Advertising Association of Greater New York, Inc. (SAAGNY) and agree to be governed by its constitution and by laws and such other regulations as may be properly adopted by the Board of Directors. I authorize SAAGNY to verify the enclosed information.
Firm Name
*
Date
*
By
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Title
*