Membership Application Form

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Company Information
	* indicates the required fields
*Membership Name
Address
*Address Line 1
Address Line 2
*City
State	Province
Postal Code	*Country
Mailing Address	Check here and enter mailing address (if different from above)
Address Line 1
Address Line 2
City
State	Province
Postal Code	Country

Telephone & Fax	*Country Code
Telephone	Area Code *Number Ext.
Fax	Area Code *Number
Website Address
Number of Staff	Annual Sales
Representative	Prefix First Name Last Name
Title
*Email

Business Information

Primary Business Type
Airline	Airport	All Cargo Carrier
Association	Charter Service	Consultant
Customs Broker	Educational Institution	Equipment Manufacturer
Express Operators	Facilities Management	Freight Forwarder
Freighter Conversion	General Sales Agent	Ground Handling
Handling Agents	Information Technology	Integrator
Lessor (Aircrafts)	Logistics Service	Manufacturer
Media	Motor Carrier	Sea-Air Services
Supplier	Wholesale Express	Other
Service Region(s)
All Regions	Asia	Africa
Australia	Central America	Europe
Middle East	North America	South America
Russia	Caribbean
Business Description (limited to 255 characters)

Products and Services (separated by commas) (limited to 255 characters):

Membership Classification

Trustee - Companies that wish to play a major role in determining the direction of the Association. Trustees are members of the Association's Board of Directors with all inherent rights and privileges and can be elected to office or to the Executive Council.

Corporate - Standard membership for companies that wish to be actively involved in the industry.

Affiliate - All international, national, regional, state and city air cargo non-profit trade associations and universities. Not available to companies.

Choose Your Membership Type
	Category	Initiation Fee	Annual Dues
	Trustee	US$10,000	US$1,000
	Corporate	None	US$1,000
	Affiliate	None	US$100

Payment (Choose your method of payment. Payment must be made in US funds through a US bank.)
Amount:
Check		Wire Transfer
Please mail check to: The International Air Cargo Association P.O. Box 661510 Miami, FL 33266-1510		Wire Transfer instructions will be provided on the invoice for your membership dues.

Referred by: *Name *Company