Membership Application Form

ON LINE MEMBERSHIP APPLICATION FORM
Phone: (276) 666-4932   Fax: (276) 666-4933      

The application process includes completing, signing, and  submitting:
       1) the Application Form,                                
       2) the Antitrust Review,
       3) the Advertising Policy,
       4) the Servicemarks License.   

 

CHECK ALL CATEGORIES THAT APPLY ANNUAL DUES PER LOCATION
Manufacturer-U.S. and International $10,000
Distributor-U.S. and Canadian $2,500
International Distributor-(No Distribution in Canada or U.S) $375 (US dollars)
Dealer-U.S. Dealers $175
Dealer-International and Canadian $135 ($350 for 3 years)
Supplier-Raw Materials $2,000
Supplier-Equipment/Accessories $500
Chapters-International $2,000*

* Please contact the IWFA office for further details

Please enter your contact information below; we will contact you for credit card information.

Company
Contact Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
Web address
Date

Nominated by:  (optional)

Name
Company
Address
City
State
Zip

*Please remember to sign Application, Advertising Policy, Antitrust Review, and Servicemarks License before submitting to IWFA central office. (You may print the completed form and fax it to the number above if you prefer; be sure to print it before pressing the "submit" button.)