Asian American Advertising Federation

3AF Membership Application

Registration Form

Please fill out the form entirely.
Fields with * are required and must be completed.

First Name*

Last Name*

Title

Company*

Address*

City*

State*

Zip*

Email Address*

Office Number*

Fax Number

Date Founded

Other Full Service Offices
(address/telephone/fax)

Services Offered
(check all that apply)

Agencies
Media
Advertiser/Corporations
Affiliated Firms
Other (Please describe)

Gross Billings Revenue*

Total Employees

Key Personnel/Titles

Major Accounts/Brands

Annual Billings/Revenue	Annual Dues (per calendar year)
Under $500,000	$500
$500,000 – $1.5M	$800
Over $1.5M and all advertisers & corporations	$2,000
Student	$20

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	© 2009 Asian American Advertising Federation