Associate/Manufacturer Application

Associate: A manufacturer and/or brand owner who serves or supplies TPA Retailers. Associate members must remain FDA compliant with all current regulatory requirements.

To exhibit at the annual trade show, associate membership must be current. For companies who currently have an Industry Partner membership, a new Associate member application must be submitted and the difference in member dues must be paid prior to the trade show.

Required Documentation: Business license and digital presence (website or social media).

AFTER SUBMITTING YOUR APPLICATION, YOU WILL BE REDIRECTED TO THE PAYMENT PAGE
NO APPLICATIONS WILL BE PROCESSED WITHOUT FULL REMITTANCE.

Primary Contact

First Name *

Last Name *

Company

Email *

Phone *

Address *

City *

State *

Postal Code *

Country *

Website *

How many employees work for your company (including yourself)?

Social Accounts

Facebook
Instagram
Twitter
LinkedIn
YouTube
Google Business Profile

Were you referred by someone?

Referrer Member name

Items to Upload

Please upload the following items. Your application will not be processed until we have all the requested documentation.

• Your Current Business License

Upload Requested Documents

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (XXX) XXX-XXXX for assistance. You can reply STOP to unsubscribe at any time.

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AFTER SUBMITTING YOUR APPLICATION, YOU WILL BE REDIRECTED TO THE PAYMENT PAGE
NO APPLICATIONS WILL BE PROCESSED WITHOUT FULL REMITTANCE.