Membership Application Form

Company Name
Membership shall be in the name of the Parent where a Group is concerned, and no subsidiary shall apply for or be granted a membership on its own.

Company
Address
City
State
Zip Code
Phone
Fax
Email
Web Site
President / CEO / COO

First Name
Last Name
Title

1. Number of years the company has been actively engaged in publishing or producing books, educational materials, scholarly journals, looseleaf services, computer software, audiovisual materials or databases:


2. Type of organization:
Commercial publisher
Not-for-profit corporation
University press

3. Corporate subsidiaries or divisions engaged in the activities listed under No. 1 above:


4. Number of titles published in the last calendar year in each of these major product/market areas:
Elhi textbooks and other instructional materials
College textbooks and related materials
Mass market paperbacks
General fiction and non-fiction - hardcover or trade paperback
Professional and scholarly books/journals/looseleaf services

5. The following person will serve as our official representative to the AAP:
First Name
Last Name
Title
Address
City
State
Zip Code

6. Please enroll my company in the following membership category:
Regular Membership
Not-for-profit Associate Membership
University Press Associate Membership
Please enroll my company in the following division(s): Information on Membership fees and division membership requirements will be sent to you upon receipt of this questionnaire.
School
Professional/Scholarly Publishing

Signature Name Title

Please complete, print out and return this form with two copies of your latest catalog, publications list, or sample mailing pieces that describe your publications, to: Lily Clark Membership Director Association of American Publishers 50 F Street, NW Washington, DC 20001-1564 202-220-4546 phone 202-347-3690 fax lclark@publishers.org
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