Maine Wood Products Association
2016 Membership Application
Please complete this entire application, both new and returning members.
Company: __________________________________________________________________
Contact: _______________________________ Title: ____________________________
Address: _______________________________
Yr. Established _________
City, State, Zip: _________________________________
Phone: ___________________ Fax: __________________ Toll free: _______________
Email: ____________________________ Web site: ______________________________
Membership Category (select one)
_____ Full Member - For profit wood products manufacturer
Dues for Full Members: Please circle the appropriate level
Payroll: $ 0-50K:
$200/year
Payroll: $ 50-200K:
$300/year
Payroll: $200-400K:
$400/year
Payroll: $400-1 M:
$500/year
Payroll: $1million +
$650/year
OR
____ Associate Member – For-profit firm, non-manufacturing in wood products $400/year
____ Associate Member – Non-profit & government entity $400/year
Additional Dedicated Donations (Donors of $100 or more will be
recognized as a sponsor of the activity)
Annual Meeting
$ ___________
Newsletter Sponsorship $ ______________
Website Sponsorship $ ________________ Educational Seminars $ ________________
Big E Booth Sponsorship $ ___________
Please complete both sides of this form.
Payment Information
o
Total Dues: _________________ Total Donations: _____________________
o
Total Amount Due: $ _________________
o
Check enclosed
o
Charge by MC/ Visa: ____________________________ exp. date: _______________
Please describe your firm and your products or services. Please be as
complete as possible, this information will help create your profile on the
new MWPA website.
Email to be used on MWPA Website (for general interest inquiries):
___________________
Name and email of additional employees who would like to receive our
monthly newsletter.
Number of employees: ____________
Would you like to participate in the MWPA marketing programs at trade
shows and fairs?
New member? Who referred you to the MWPA? ____________________________
If you would like us to send membership information to a potential member,
please provide a name and address below. Thank you!
Please mail your application and dues to the address below. Thank you for your
continued support of the Maine Wood Products Association.
Kris Cornish
Executive Director
Maine Wood Products Association
PO Box 360 Topsham, ME 04086
Tel: 207-338-2883
[email protected]
www.mwpa.org