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Associate Member Application

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Associate Member Application

Associate Membership Requirement:
Associate Membership in this Association shall be limited to those businesses who can provide services and goods to the publishers of the Mid-Atlantic Community Papers Association. Those associate members with publications who derive at least 75 percent or more of their publication revenue from free-circulation papers, and all of whose free-circulations papers meet the requirements of a regular membership. (See regular membership application for requirements.)

Application for Membership:
I/We have examined the Membership Requirements and Code of Ethics of the Association, hereby make application for membership in the Mid-Atlantic Community Papers Association, and submit the following information in support of my/our application, together with payment of first-year dues along with 12 copies of literature and back-up materials of my business.

$125 for tradeshow/marketing membership
$75 for marketing only membership*

Legal Name of Firm:

*

Corp/SS#:

*

Owner/Parent Corp.:

*

Street Address:

*

City:

*

State:

*

Zip Code:

*

Mailing Address (Complete if different from above)

 

Street Address:

City:

State:

Zip Code:

Telephone Number:

*

Fax Number:

Cell Phone Number:

Website:

Email:

*

Social Networks

Facebook
LinkedIn
Twitter
Google+

Please provide us with your Social Network addresses:

Business References (3)

 

Name:

*

Telephone Number:

*

Street Address:

*

Email:

Name:

*

Telephone Number:

*

Street Address:

*

Email:

Name:

*

Telephone Number:

*

Street Address:

*

Email:

I hereby apply for membership to the Mid-Atlantic Community Papers Association. I have read and agree to the requirements of membership.

Electronic Signature (type full name): *
Date: *
Sponsoring Publication Member:
 

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