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Company / Representative Information

Company Name:

Email Address:

Address:

City:

State/Province:

Country:

Postal Code:

Web Site:

Telephone:

Fax:

# of Employees:

Representative Name:

Job Title:

Details

Your business sector:

Please describe what your company expects from its AFRA membership:

Fees

Initiation Fee: (one time only)

Each division, subsidiary and/or joint venture pays a separate fee. Each applicant may use a maximum of ONE discount option. If more than one applies, please select ONE.

$2000 USDDiscount - My parent company is already a a member -50%Discount - My company is joining with other divisions simultaneously -50%Discount - My Company is AFRA Accredited -100%Discount - My Company is an Airline (No Charge)Discount - My Company is a Research Institute (No Charge)

Name(s) of Parent Company / Other Companies joining simultaneously. Please complete a separate form for each.

Membership Due: (assessed annually)

Total $

All AFRA members are subject to all membership and voting requirements specified in the AFRA Bylaws (linked above). Submitting this application constitutes that the signer has read and understands the AFRA Bylaws and agrees to the terms, goals and procedures described therein.