Flexographic Trade Services
www.flexotradeservices.com
Membership Registration Form
Form Login Account (optional)
New Users / Returning Users
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to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form.
Company Information
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Today's Date
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Membership Level
Gold Membership ($500.00)
Gold Membership (FREE)
Platinum Membership ($3,000.00)
Vendor Sponsorship ($2,500.00)
Gold Member Update
Platinum Member Update
Vendor Sponsor Update
Special Code
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Company Name
Physical Address
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First Name
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Last Name
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Street Address
Address Line 2
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City
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State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
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Zip Code
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Phone Number
Billing Address
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Street Address
Address Line 2
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City
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State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
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Zip Code
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Phone Number
Contact Information
Please provide the following contacts: Owner/President, Vice President, Production Manager, Sales Manager, Office Manager, HR Manager, etc.
Main Contact
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First Name
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Last Name
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Title
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Phone Number
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Email Address
Accounting Contact
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First Name
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Last Name
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Title
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Phone Number
*
Email Address
Additional Contact
First Name
Last Name
Title
Phone Number
Email Address
Additional Contact
First Name
Last Name
Title
Phone Number
Email Address
Additional Contact
First Name
Last Name
Title
Phone Number
Email Address
Additional Contact
First Name
Last Name
Title
Phone Number
Email Address
Payment Information
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By checking this box I understand that my membership fee is non-refundable, as this is a lifetime membership.
Yes
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Payment Method
Credit Card (We will call you upon receipt of form)
Check (See mailing address below)
No Payment Required
Mail Check to:
Flexographic Trade Services
PO Box 7048
Charlotte, NC 28241-7048
Additional Information
Comments
*
Indicates Response Required
Flexographic Trade Services
3536 Centre Circle, Fort Mill, SC 29715
p. 803-802-5211 f. 803-802-5228