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Association of Defensive Spray
Manufacturers Application for Membership |
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Association of Defensive Spray
Manufacturers Application for Membership |
PLEASE PRINT OR TYPE
Select Membership Category:
| q Filler Member: | Filler members shall consist of companies that "fill" canisters with the active ingredients in defensive sprays. |
| q Supplier Member: | Supplier members shall consist of manufacturers or distributors of components and services to the Defensive Spray Industry. |
| q Distributor Member: | Distributor members shall consist of distributors of defensive sprays. |
Annuals Dues: $1,000.00. Please enclose payment with completed application.
| Name | |
| Company | |
| Street/PO Box | |
| City/State/Zip Code | |
| Phone | |
| Fax | |
| |
|
| Web Site | |
| Applicant is a: q Corporation q Partnership q Sole Proprietorship | |
| Name of Corporate President or
Owner |
|
| Representative of applicant
who will be contact person to ADSM |
|
| Description of products/services provided to defensive aerosol spray filler/supplier/distributor | |
| I attest that ___________________________________________________________ is authorized to sign for the corporation. | |
| Signature____________________________________________________________________________________________ | |
|
To become a member of
ADSM, print this membership application,
fill it out and mail to the address below with applicable payment
ADSM
906 Olive Street - Suite 1200
St. Louis, MO 63101-1434
Telephone: (314)241-1445 l Fax:
(314)241-1449
Email: adsm@pepperspray.org
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