Regional Manufacturer  
 
Company Name:
  Address:
  City:
  State:
  Country:
  Zip:
  Phone:
  Fax:
  Website:
Please include http://

  Please list below the person you wish to be the key contact
at the above address:
 
Key Contact Name:
  Key Contact Title:
  Key Contact Email:
  Please name one or two additional persons at the same address
you wish to receive NFRA mailings:
 
Contact 2 Name:
  Contact 2 Title:
Contact 2 Email:
Contact 3 Name:
Contact 3 Title:
Contact 3 Email:
Frozen Food
Business Mix:		  % Retail  % Foodservice
Refrigerated
Business Mix:		  % Retail  % Foodservice
Brief description of Company (25 words)
  Recommended for membership by:
 

Based on the fee schedule below, enter your calculated dues payment:
$

 

 

Regional Manufacturer Dues
Distribution cannot exceed a 300 mile radius from company headquarters.

 
  Dues
  $500
   
   
   

 

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