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.
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