Affiliate 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. Nature of services provided to the book publishing industry (be as specific as possible):


2. Corporate subsidiaries or divisions engaged in the activities listed under no. 1 above:


3. The following person will serve as our official representative to the AAP:

First Name
Last Name
Title
Address
City
State
Zip Code

4. Membership fees are based on total sales of services or products to the book publishing industry or in the case of wholesalers or retailers, purchased from the book publishing industry, by all subsidiaries and divisions within your corporation. The schedule is as follows: Sales to $3 Million $950 Sales between $3 and $50 Million $5,500 Sales between $50 and $250 Million $8,250 Sales over $250 Million $11,000
The fiscal year of the Association is April through March 31 of the following year. Companies joining during the year may allocate their dues proportionately beginning with month following their application.

Signature Name Title

Please complete, print out and return this form and return 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 Please include a check for the appropriate fee or we will invoice you if you mark the proper fee above.
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