If you are applying to be an Affiliate Member, please specify the primary region where your Regular membership is held:
Please select all that apply which could best fit your company's products and/ or services.
Representative Information
(OR shall be the company representative entitled to vote on membership matters arising, when applicable, and to receive official membership correspondence, notifications, news, etc.)
(In the absence of OR, AR shall be entitled to vote on behalf of the OR, on membership matters arising, when applicable, and to also receive official membership correspondence, notifications, news, etc.)
(AL shall, on behalf of the OR and AR, be a point of contact and receive official membership correspondence, notifications, news, etc.)