Missouri Forest Products Association

Membership Application

Please fill out all applicable information:

Company Name*
Individual Name*
Address*
City*	State	Zip
Telephone*
Fax*
E-mail*
Web Site
Recommended by

*Required Information

Please check type of membership:

Industry - Investment: $220 + $15.50 per employee (150 employee cap)

Cabinet - Investment $100 (1-5 employees) Special Rate

Logging - Investment $85

Affiliate

Forester - Investment: $85

Student - Investment: $15

Non-Forest Industry - Investment $85 (certain restrictions apply)

Landowner - Investment based on acreage owned:

		0-100 acres	$45
		101-500 acres	$75
		501-2,000 acres	$145
		2,001-5,000 acres	$210
		5,001-10,000 acres	$280
		more than 10,000 acres	$410

Associate

Forest Industry Equipment / Service - Investment based on annual revenue:

		less that $1 million revenue	$260
		$1-$5 million revenue	$510
		$5-$10 million revenue	$755
		more than $10 million	$1005

The Forest Industry Needs Your Support!

The Missouri Forest Products Political Action Committee (MFP-PAC) needs your contributions to help elect and support Missouri Lawmakers who understand and support the forest products industry.

Membership Investment	$
Voluntary MFP-PAC Contribution	$
Total Membership Investment (MFPA will bill you for the total)	$

Please insert the code in the image into the box: