| Company
Information |
| Company
Name |
|
| Contact
Name |
|
| Position |
|
|
Street Address |
|
| City |
State
Zip
|
| Phone |
|
| Fax |
|
| Email |
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| Website
Url |
|
| The
DIE-LINE Newsletter will be sent to the name and address above.
If it should be sent to a different address or to another member
of your company, please comment below: |
|
|
| Company
Classification (check all that apply) |
|
|
Extruder |
|
|
Converter |
|
|
Laminator |
|
|
Printer |
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|
Resin
Manufacturer - LDPE, LLDPE, HDPE |
|
|
Machinery |
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Distributor |
|
|
Broker |
|
|
Manufacturer
Representative |
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|
Other
- please comment below: |
| Membership
Agreement (choose the appropriate category) |
|
|
As
per the Bylaws requirement for REGULAR Membership, I affirm
that at least 85% of the business of the above company is directly
involved with, or related to, the extrusion, conversion, printing
or distribution of polyethylene and other plastic packaging (Voting
Member).
|
|
|
As
per the Bylaws requirement for ASSOCIATE Membership, I
affirm that I support the efforts of the Association (Non-Voting
Member).
|
|
Membership Dues (choose the appropriate category) |
|
|
$600 |
|
|
$800 |
|
|
$1200 |
|
|
$1500 |
|
$2000 |
|
|
$2500 |
|
$3000 |
|
|
$850
Associate |
|
|
| Form
of Payment |
-
By
check: Please print this Application Form and mail
it, along with your check for the appropriate DUES amount:
CFECA Executive Director, 904 Silver Spur Rd. #491,
Rolling Hills, CA 90274
-
By
credit card: Please include your Visa or MasterCard
credit card number, its expiration date and the exact
name on the card in the "Comments"
box above. Then print this Form, sign
it, and fax to CFECA Executive Director: 310.227.8885
|
