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 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 Centers Residential Contractors Commercial Contractors Consumers Other
Billing Info
Company 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 ZIP Code
Secure Credit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*
Comments
This field is for validation purposes and should be left unchanged.

Retail Lumber Yards / Home Centers	Residential Contractors	Commercial Contractors	Consumers	Other

Membership Application - Associates / Suppliers

Billing Info