Associate Application

Application This is it... GOOD LUCK!!

To apply for membership in the IBMA as an Manufacturer Associate Member, you must complete this application. Note that the fields marked with an asterisk are required, but if you do have other information (such as a Web address) please fill that out too.

If you have questions, do not understand something, would like to add or request more information, there is a place to type anything you want.

Note that we have installed a security code to protect your information. Your information will only be viewed by our membership committee and Board and will NOT be shared with others.

APPLICATION FOR ASSOCIATE MEMBERSHIP
International Business Music Association
(Associate Dues $250.00)

Please complete all required information and Click "Submit Application"

Company Name:
*
Your Name:
*
Your Position in the Company:
*
Company Address:
*
City ST Zip:
*
Company Phone:
*
Company Fax:
Toll Free Number:
Your Cell Number:
*
Your Email:
*
Company Web Site:

Product or Services Offered:

Additional Contact Information
Company Sales/Marketing Contact:
*
(Phone):
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(Email):
*
Company Expo Registration Contact:
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(Phone):
*
(Email):
Accounts Receivable:
*
(Phone):
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(Email):
*
Customer Service:
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(Phone):
*
(Email):
*

Do You Offer Special Pricing or programs to IBMA Regular Members? (use the drop down box)

As an Associate Member of IBMA you are eligible to submit a "Meet Your Membership" overview of your company. This article will be published in our quarterly newsletter and is designed to introduce your company products and services to our Regular Members. There is no charge for the article and it can be submitted with this application or at a later date.
Type Your Overview Article Here:

Additional Comments or Questions:
Security code:
*
Do not enter anything in this field:

* indicates a required field