Please complete the following membership application to activate your AM&P membership.

Once the application is submitted and processed (usually within one business day), you will receive a welcome email with instructions on how to get started.

Questions? Please contact membership@siia.net.

* Denotes Required Information

Company Information
* Company Name
Parent Company
* Address Line 1
Address line 2
* City
* State/Province
* ZIP/Postal Code
Country
* Phone
URL
* Number of Employees
* Company Description
(up to 50 words)
  You may update your company description at any time.


Primary Contact

The primary contact serves as the principal intermediary between AM&P and your organization and handles account responsibilities, such as membership renewal.

As this is an organization-wide membership, all employees have access to member benefits.

* First Name
* Last Name
* Job Title
* Phone   Ext.
Fax
* Email


* Membership Dues (based on previous 4 quarters)
Revenue Dues
Freelancer/Sole Proprietor $395
$0 - 250,000 (available only to companies with 5 or less employees) $1,155
$250,000 - 5 Million $2,095
$5 - 10 Million $3,565
$10 - 100 Million $5,665
$100 Million - 1 Billion $8,290
$1 Billion - over $11,440


By submitting this application, I certify that our company is eligible for the designated membership classification as defined above and that our dues contribution is based upon the last four fiscal quarters. We agree to pay the indicated membership dues within 30 days of submitting this application.