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Membership Application

2440 Western Avenue, Suite 709
Seattle, WA 98121
USA
1.206.374.2263 facsimile
ILPF membership dues for 2003 have been set by the Board of Directors at US$20,000 for twelve months. The ILPF recognizes two billing periods, January 1- December 31, 2003 and July 1, 2003- June 30, 2004. Member companies which submit an application on or after July 1, 2003 may request either a six month membership (July 1- December 31, 2003) prorated at $US10,000 or the full twelve month membership at US $20,000.

Please choose a form application from the following three options:
  • Download the Word version (.doc) by clicking here.
  • Download the PDF version (.pdf) by clicking here.
    If you do not have the Adobe Acrobat reader, please download here
  • Apply online by submitting the following information:
1. Name of company

2. Contact information for headquarters

Street Address 1:

Street Address 2:

City:

Province/State:

Postal Code:

Country:

Main Telephone Number:

Main Fax number:

Company URL:

3. Brief description of company's business

4. Each ILPF member company holds a seat on the Board of Directors. Please indicate the individual employee designated to the Board Seat.

Name of Person:

Job Title:

Deparment:

Street Address 1:

Street Address 2:

City:

State/Province:

Postal Code:
Country:

Business Email:

Business Phone:

Businnes Fax:

Mobile Phone:

Alternate Email:

Assistant's name:

Assistant's Phone:

Assistant's Email:

5. Primary contact person

Name of Person:

Job Title:

Department:

Street Address 1:

Street Adress 2:

City:

State/Province:

Postal Code:

Country:

Business Email:

Business Phone:

Business Fax:

Mobile Phone:

Alternate Email:

Assistant's Name:

Assistant's Phone:

Assistant's Email:

6. Person to whom invoice is to be sent

Name of Person:

Job Title:

Department:

Street Address 1:

Stree Address 2:

City:

State/Province:

Postal Code:

Country:

Business Email:

Business Phone:

Business Fax:

Mobile Phone:

Alternate Email:

Assistant's Name:

Assistant's Phone:

Assistant's Email:

7. Person(s) who will receive all official communications (the "Development Committee" list) If you wish to add more names, please let us know.

Name of Person:

Job Title:

Department:

Street Address 1:

Stree Address 2:

City:

State/Province:

Postal Code:

Country:

Business Email:

Business Phone:

Business Fax:

Mobile Phone:

Alternate Email:

Assistant's Name:

Assistant's Phone:

Assistant's Email:

9. Person(s) whom you wish to receive the weekly newsclip service.

Name of Person:

Job Title:

Email:

Name of Person:

Job Title:

Email:

Name of Person:

Job Title:

Email:

Name of Person:

Job Title:

Email:

Name of Person:

Job Title:

Email:

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