Membership Application Annual Invoice
Company Information
Company Name
Physical Address
City
State
Zip
Work Phone
Website
PO Box/Mailing Address (if different)
PO Box/Mailing Address
City
State
Zip
Primary Contact Information
This individual will be the primary contact for all Natural Stone Institute business matters, will have the company’s vote on any membership issues submitted for a vote, will receive all member mailings and communications and agrees that the company will adhere to the Code of Ethics.
First Name
Last Name
Title
Email
Direct Dial
Mobile
May we text you?
choose one
Yes
No
Business Information
This information will be used for your membership directory listing.
Choose primary
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Affiliate
Allied Association
Distributor: Equipment/Tools
International Quarry
Endorsed Partner Program
Engineered Quartz Producer
Freight Forwarding
Manufacturer: Equipment/Tools
North American Quarry
Product Sales Representative
Stone Consultant
Stone Distributor
Stone Exporter
Stone Fabricator
Stone Importer
Stone Installer
Stone Processor
Stone Producer/Quarrier
Stone Restoration/Maintenance
Supplier to Industry - Other
Wholesale Slab Distributor
The following information is kept confidential.
Number of Employees
Approximate Annual Sales (in US dollars)
choose one
Under $1 million
$1 - $5 million
$5 - $10 million
$10 - $25 million
Over $25 million
Membership Dues
DUES AMOUNT
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Annual Invoice (invoice will be sent for payment): $1000
Annual Auto Withdrawal Payment: $1000
Semi-Annual Auto Withdrawal Payment: $500
Quarterly Auto Withdrawal Payment: $250
You will be prompted for Payment Method on the following screen after verifying your information.
Additional Locations
Do you have branch locations that require directory listing and member services?
choose one
NONE
1 @ $200
2 @ $400
3 @ $600
4 @ $800
5 @ $1000
6 @ $1200
7 @ $1400
8 @ $1600
9 @ $1800
10 @ $2000
You will be contacted for additional information on the branch locations.
- denotes required fields
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