New Member Form
Accessories Council
Primary Contact Name:
*
Position:
*
Email:
*
example@example.com
Phone:
*
-
Country Code
-
Area Code
Phone Number
Company Name (As you would like it to appear on our website, newsletters, and social media):
*
Category:
*
Establishment Year of Company:
*
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website:
*
Affiliate Link: (if applicable)
PR Contact Name: (if applicable)
PR Contact Email: (if applicable)
example@example.com
Accounts Payable Contact Name: (if applicable)
Accounts Payable Contact Email: (if applicable)
example@example.com
Accounts Payable Contact Name: (if applicable)
Accounts Payable Contact Email: (if applicable)
example@example.com
Instagram (if you don't have an account, please type N/A):
*
Twitter/X (if you don't have an account, please type N/A):
*
Facebook (if you don't have an account, please type N/A):
*
Company Bio:
*
0/700
Please upload an image that best represents your brand/product to be shared in all new membership announcements. 1080 x 1350 (portrait) and at least 72 DPI:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a high resolution image of your company logo (at least 72 DPI):
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Annual Sales Volume Fee Per Year (Dues are based on annual volume):
$0-$2 million ($1,000 Yearly Dues)
$2-$5 million ($2000 Yearly Dues)
$5 million+ ($5000 Yearly Dues)
Service Members ($2000 Yearly Dues - Service members are any companies that are not manufacturers or designers of accessories. This includes retailers, publications, suppliers, employment agencies, law firms, etc. Membership is renewed annually by the date of application).
*By checking this box, I agree to keep the above credit card on file and acknowledge that membership will be automatically renewed annually.
Yes, renew my membership annually
I consent to keep my credit card on file
Payment:
*
prev
next
( X )
$0-$2 million ($1,000 Yearly Dues)
$1,000 + 3.2% Credit Card Fee
$1,032.00
$
1,032.00
$2-$5 million ($2000 Yearly Dues)
$2,000 + 3.2% Credit Card Fee
$2,064.00
$
2,064.00
$5 million+ ($5000 Yearly Dues)
$5,000 + 3.2% Credit Card Fee
$5,160.00
$
5,160.00
Service Members ($2000 Yearly Dues)
$2,000 + 3.2% Credit Card Fee
$2,064.00
$
2,064.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
Should be Empty: