NAPIM INK Membership Application

By completing the below application, we hereby apply for 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

What percentage of sales are in the United States?:
Our organization is a:
We will support the objectives and interests of the Association.
We manufacturer the following types of Ink:
Offset
Gravure
Letterpress
Flexo
Inkjet
Screen Process
Digital
Electronic
Other
Sales are divided approximately as follows
Percentage of printing ink produced for sale to outside customers:
Percentage of printing ink produced for use by a subsidiary, parent or affiliated company:
Percentage of printing ink manufactured:
Percentage of printing ink purchased for resale:
*Percentage of non-ink products:
*not included in calculation of dues

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

Please indicate the appropriate dues level for your organization based upon the table below. You may choose to make either the quarterly or annual amount.

Napim Ink Invoice Template

INK Member Fee (Quarterly Payment):
INK Member Fee (Annual Payment):
   - denotes required fields