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WHOLESALE MEMBERSHIP APPLICATION
Company Name: ______________________________________ Contact Name: ______________________________________ Street Address: ______________________________________ City/State/Zip: ______________________________________ Telephone: _______________________________________ Fax: _______________________________________ E-Mail: ________________________________________ Dues Calculation (check one): ________$5,000.00 (non-Sponsorship Program)or ________Sponsorship Program (calculate dues below)
Headquarter Fee $3,850 Number of NYS Units X $150 $_______ Total Annual Dues: $_______ PAYMENT ENCLOSED $___________ Please enter your Annual Sales Volume for most recently completed year: __________ How many stores does this company represent in New York State? __________ How many employees? __________ Please mail your dues, accompanied by this
application to our ALBANY office ************************************************************************** IN ACCORDANCE WITH THE PROVISIONS OF THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993, 77% OF YOUR MEMBERSHIP DUES FOR CALENDAR YEAR 2002 ARE DEDUCTIBLE FOR FEDERAL TAX PURPOSES |