Apply for Membership in the Dangerous Goods Advisory Council



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	JOIN DGAC

DGAC Membership Application

Below is our secure online Membership Registration Form. You may also print out and fax or mail our printable Membership Registration Form (in Adobe .PDF format).

Company Name:

Representative Name:

Business Title:

Address:

City:

State:

Zip Code/Postal Code:

Country:

Phone:

Fax:

Email:

Website Address:

Please select the business category which best describes your company's activities:

Optional Information:

Headquarters located in:

Number of countries with facilities:

Brief description of your company's major business activities:

Limit 180 characters

Membership Dues are based on your company's annual revenues and are prorated when membership is initiated.

2008 Dues Schedule

Member dues are based on your company's annual revenues and are prorated when membership is initiated after July 1. Dues are payable in US dollars and are due for renewal each January 1.

Annual Revenue or Income

when joining
Jan - June

when joining
July - Sept

when joining
Oct - Dec

More than $100 million

$50 million to $100 million

$20 million to $50 million

$3 million to $20 million

$500,000 to $3 million

Less than $500,000

$4,300

$2,800

$2,300

$2,000

$1,500

$1,100

$2,150

$1,400

$1,150

$1000

$750

$550

$1,075

$700

$575

$500

$375

$275

Please select your Annual Gross Income:

Payment Method:

How did you hear about DGAC membership:

DGAC membership brochure

In a DGAC training course

My company is a former member of DGAC

Surfing the Internet

Link from another website ( please specify

)

Referral from a colleague

Advertisement ( please specify

)

Phone call from a DGAC representative

Other ( please specify

)

Your Company and all its employees will receive DGAC membership discounts on conferences and training. In addition, the listed representative will be registered for the DGAC's News Updates and receive the Docket Board, online access to the Federal Register Extract Service, domestic and regulatory updates, access to the Members Only web page and all other DGAC member mailings. DGAC Members may appoint additional recipients for access to the DGAC Member Website and News Updates. Details will be included in your welcome packet.

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This site was updated February 29, 2008, by Lisa M. Keyser. Although we attempt to keep this information up to
date, we cannot guarantee the accuracy of the information provided.

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