Membership Application


Business Name: __________________________________________________________

Contact Name: ___________________________________________________________

Address 1 (Physical Location): _______________________________________________

_______________________________________________________________________

Address 2 (Mailing Address): ________________________________________________

_______________________________________________________________________

Telephone: ______________________________________________________________

Fax: ___________________________________________________________________

E-Mail: _________________________________________________________________

Web Site: _______________________________________________________________

Business Category: (Please select all that apply.)
( ) Wholesaler( ) Printer
( ) Retailer( ) Closures
( ) Raw Material Supplier( ) Design
( ) Independent Sales Representative( ) Packaging
( ) Containers (Glass__, Plastic__)( ) Co-Packer
( ) Corrugated (Cardboard)( ) Distributor
( ) Food Consultant 

Please enclose a business card and any pictures of your product(s) you may want on our website.

Membership:    $150/year

Make checks payable to: Alabama Specialty Food Association (or ASFA).
 
Mail to:
Alabama Specialty Food Association
Post Office Box 457
Chancellor, AL 36316