Membership Type *

Please Choose One

Corporate - Manufacturer of Paints, Coatings & Kindred Products - ($475)

Corporate - Supplier to Paints & Coatings Manufacturers - ($475)

Individual - Retired - ($35)

Individual - Educator or Student - (Free)

Member Representative Name *

First Name

Last Name

Company Address *

Your company address is the default address for all mailed correspondence, including dues invoices and invitations to events. If you would like us to send correspondence to different addresses, please specify below in Secondary Address.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Secondary Address

Only provide if you want correspondence sent to a different address than the Company address.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Disclosure *

I, the undersigned, hereby apply for membership in the Metropolitan New York Coatings Association, Inc., and agree on behalf of the company and its designated representative that, upon election to membership, to subscribe to and support the Bylaws and the Code of Ethics of this Association. It is understood that the corporate membership dues are $475.00 per year payable with this application; the dues for retired members are $35.00.

Date of Application

MM

DD

YYYY