NAPIM TAM Membership Application


By completing the below application, we hereby apply for Technical Associate membership in the National Association of Printing Ink Manufacturers and agree to be bound by the by-laws and regulations thereof.

Company Information
Please provide the following information:

Company Name:
Address:
City:
State:
Zipcode:
Work Phone:
Fax:
Website:
Email:


Company Specifications
Under which group do you want your company listed?:
Types of products manufactured (for the printing ink industry):



Company Representatives

The key contact will receive all mailings, invoices and will be the company voting representative:
Key Contact Name:
Key Contact Title:
Key Contact Email:

So that we may serve you better, please provide the following employee contact information.

1. Employee Name:
1. Title:
1. Email:

2. Employee Name:
2. Title:
2. Email:

3. Employee Name:
3. Title:
3. Email:

4. Employee Name:
4. Title:
4. Email:

5. Employee Name:
5. Title:
5. Email:


Membership Fee

- denotes required fields