Distributor Membership Application

Membership Requirements
Distributor members are wholesale companies or individuals, having been in business for at least one year, that actively source and resell packaging products to their customer base. These companies are eligible to attend RPA’s Annual Showcase & Conference. In the case of a Master Distributor, they may choose to exhibit at RPA’s Annual Showcase however must first register as a supplier to do so.
All applications are reviewed by RPA’s Membership Committee, which reserves the right to accept or reject any application for any reason.
RPA membership runs from January 1 to December 31 annually for $180.

Company Information

Company Name
Work Phone Fax
Company Email (general, not employee)
Address
City State/Prov
Zip/Zone
Country
Website
Description of Company's Services:
Retail packaging products sold by your company (must sell one) - Select all that apply by using your key pad Ctrl button
Year Opened For Business:
Number of Employees:
Number of Sales Staff:
List 3 suppliers from whom you currently purchase packaging products:
What percentage of total sales is from Retail Packaging Products?
How did you hear about RPA?

Key Contact Information

Prefix
First MI
Last
Title
Direct Phone
Email

Additional Employees

Employee
Prefix
First MI
Last
Title
Direct Phone
Email
Employee
Prefix
First MI
Last
Title
Direct Phone
Email
Employee
Prefix
First MI
Last
Title
Direct Phone
Email
Employee
Prefix
First MI
Last
Title
Direct Phone
Email
   - denotes required fields