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 (at least 72 DPI):
*
Browse Files
Drag and drop files here
Choose a file
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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:
*
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( 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
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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