American Pet Products Manufacturers Association, Inc.
255 Glenville Road
Greenwich, CT 06831
Tel: (800) 452 1225   Fax: (203) 532 0551


APPLICATION FOR DOMESTIC MANUFACTURER MEMBERSHIP

Domestic Manufacturer membership in APPMA is open to pet product manufacturers or importers who have either a manufacturing facility or a warehouse in the United States.

The undersigned hereby makes application for Domestic Manufacturer membership in American Pet Products Manufacturers Association, Inc.(APPMA) and, if accepted for membership by the Board of Directors, agrees to abide by all the Rules, Regulations and By-Laws of said Association.

Directions: Please complete this form in its entirety, by typing your response or, where appropriate, indicating “Not Applicable.” Incomplete information or documentation will delay processing and consideration of this application. The information contained in this application will remain confidential except to the extent necessary for consideration of membership and/or provision of member services.

Company and Key Contact Information
1. Company information and key contact name for billing and all communications:
Firm Name:
Contact Name:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:	(Please include area/city and country code)
Fax:	(Please include area/city and country code)
E-mail Address:
Web Site URL:
Business Profile:
2. Name the type of business the applicant is organized as (e.g., corporation, partnership, sole proprietorship, etc.):
3. Are you a manufacturer or importer of pet products that bear a brand name, registered trademark, or trade name? Yes   No Please provide a copy of catalog, label, labeled product packaging or other promotional materials which display the name and/or mark of your product.
4. Is your pet product being sold to manufacturers, retailers or distributors by your firm in the United States? Yes   No Please submit one (1) invoice with a matching bill of lading showing sales of pet products from your U.S. manufacturing or warehouse facility all information on the invoice must match the bill of lading.
5. What percentage of your pet product income is derived from: a. Manufacturing: % b. Importing: % c. Other: % If Other, Please Specify:
6. Do you have a manufacturing facility located in the United States? Yes   No Please enter the address of your manufacturing facility:
7. Do you have a warehouse located in the United States? Yes   No Please enter the address of your warehouse:
8. Number of Employees. Indicate the number of full-time employees in your company (employees in pet products division only). Company information will remain strictly confidential.: Less than 10 11 - 25 26 - 50 51 - 100 101 - 250 251 - 500 More than 500
9. Pet Product Sales As you evaluate your dues category, be sure to check the appropriate level based on your company's gross annual world-wide sales of pet and pet-related products and veterinary care products available for retail sale. Accurate dues represent your company's total world-wide sales of these products in the prior twelve months. To ensure accuracy, have your CEO, CFO, certified public accountant or other accounting officer verify the appropriate dues category for your company. Accurate reporting of member dues is essential to the vibrancy of the Association. APPMA reserves the right to conduct random dues level audits at any time. Indicate which category of total world-wide pet product sales is applicable and enclose the stated dues amount with this application. Under $0.5 MM ($500) Between $0.5 MM and $2 MM ($750) Between $2 MM and $5 MM ($1,500) Between $5 MM and $10 MM ($3,000) Between $10 MM and $15 MM ($4,800) Between $15 MM and $25 MM ($5,500) Between $25 MM and $50 MM ($6,500) Between $50 MM and $100 MM ($7,500) $100 MM and over ($10,000)
10. I certify that the above information is correct as stated including the fact that my company's gross annual world-wide sales of pet products for the last fiscal year were in the category indicated above. I understand that should this information be incorrect, this application will be rejected. I further understand that if the application is accepted and later discovered to be incorrect, my company's membership will be terminated.
11. Membership applications withdrawn before presentation to APPMA's Board of Directors will be assessed a $75.00 processing fee. No credit or refund will be issued for the withdrawal of a membership application after the Board's approval, regardless of reason.
Signature:   Date:   As an Officer of:

American Pet Products Manufacturers Association, Inc.
Application Checklist

Please be sure to include the following enclosures:

• Application signed by an officer of the applicant. (Items left blank or unclear constitute an incomplete application which cannot be considered.)
• Copy of the product brand name, registered trademark or trade name with the proper documentation (as indicated in item # 3 of this application).
• Copy of one (1) invoice with one (1) matching bill of lading or shipping document (i.e. FedEx, UPS, DHL or Airborne, etc.) indicating sales of applicant’s pet products from its U.S. manufacturing or warehouse facility to a U.S. manufacturer, retailer or distributor (as indicated in item # 4 of this application).
• Payment in U.S. dollars either by check, money order or credit card for the initiation fee ($1,000) plus first year’s dues based on your worldwide annual sales of pet products (as indicated in item # 9 of this application).

Contributions or gifts to APPMA are not tax deductible as charitable contributions for federal income tax purposes. However, they may be deductible as ordinary and necessary business expenses subject to restrictions imposed as a result of APPMA's "lobbying" activities as defined by the Budget Reconciliation Act of 1993. APPMA estimates that the nondeductible portion of your dues — the portion that is allocable to "lobbying" — is 20%.

Please mail the completed application, the product name or mark information, one (1) invoice showing U.S. sales originating from your manufacturing facility or warehouse to a U.S. manufacturer, retailer or distributor with a matching bill of lading and the initiation fee and dues payment in U.S. dollars to:

APPMA Membership Dept.
255 Glenville Road
Greenwich, CT 06831