Membership Application - Associates / Suppliers Associate/Supplier membership dues are based per location on the number of employees actively working or dependent upon business related to the retail lumber and building materials industry in the mountain states region. Each location is figured on an individual basis with a $5,000 maximum cap. Company*Phone*Email* Key Contact Name* First Last Title*Physical Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Please check each of the following that best describe your business* Wholesale Wholesale Broker Wholesale / Retail Distributor Manufacturer Manufacturer's Rep Management Service Other Please list your primary product lines:*What type of customers do you serve? (List percentages)*Retail Lumber Yards / Home CentersResidential ContractorsCommercial ContractorsConsumersOther Billing InfoCompany Size*1 to 7 employees ($450)8 to 15 employees ($550)16 to 25 employees ($650)26 to 50 employees ($750)Over 51 employees ($1,000)Total $0.00 Billing Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Secure Credit Card Card Holder* Card Number* Card Expiration* Card CVV* NameThis field is for validation purposes and should be left unchanged.
