Affiliate Producer Application

Essential Minerals Association Affiliate Producer Member Application Form

Company Name: _____________________________________________

Company Representative: ______________________________________

Title: _______________________________________________________

Address:_____________________________________________________

______________________________________________________

Phone: ______________________________________________________

Email:_______________________________________________________

Minerals Produced or Processed:____________________________________

_____________________________________________________________

My organization agrees to pay membership dues to the Essential Minerals Association (EMA) immediately upon acceptance of this membership application.  Our membership in EMA will remain in effect for at least 1 year and must be terminated in writing. As an Affiliate member we recognize that our company will not have a vote on membership issues.

Signature:_________________________________ Date:____________________

Please submit this form to Chris Greissing: chrisgreissing@ema.org

Dues are $8250 per year.

Edit this text