Company Referred by Primary Contact Address City State/Province Country Zip/Postal CodeBusiness Phone Fax Email Website Company Description/Specialty

o American Express o Master Card o Visa o Check (Checks payable to NOMMA, in US dollars, from a US bank)Payment Total Credit Card # Exp. Date / CSV# Name on Card Authorized Signature Date

Fabricator MemberMetal fabricating shops, blacksmiths, artists or other firms and individuals in the industry whose products or services are sold directly to the consumer or the consumer’s immediate agent.

$350 Small Shop Annual gross revenues under $250,000

$475 Small-Medium Shop Annual gross revenues $250,001 - $1.49M

$525 Medium Shop Annual gross revenues $1.5M - $2.49M

$600 Large Shop Annual gross revenues $2.5M or more

Supplier MemberSupplier members produce or distribute materials,

machinery, and accessories for the industry or provideservices that may be used by the industry.

$725 Nationwide Operating nationwide or international

$575 Regional Operating within a 500-mile radius

$450 Local Operating within a 150-mile radius

AffiliateIndividuals, firms, organizations and schools

that do not engage in the fabrication ofornamental or miscellaneous metal products, donot provide products or services to the industry,

but have a special interest in the industry.Teacher/School $310

Architect/Designer $310

Non-profit organization $310

StudentMust be 18 years or older and be in enrolled in college, university or technical school and be

studying on a part-time or full-time basis.Student $45

Quarterly Payment Plan

Payment Options

Submission Options

o Please enroll me in the Quarterly Payment Plan and automatically charge my credit card.

Complete form and:1. Email: info@nomma.org2. Fax: 314-480-71183. Mail to: NOMMA, 6404 International Parkway, Ste. 2250, Plano, TX 75093 4. Online: www.nomma.org/join

Member Statusv New Member

Returning Member

NATIONAL ORNAMENTAL & MISCELLANEOUS METALS ASSOCIATION

MEMBERSHIPAPPLICATION