FAIR TRADE GROUP

FIREARMS IMPORTER'S ROUNDTABLE

Membership Application

Company Name: _______________________________________________________

Employee Contact: ____________________________________________________

Address 1: ____________________________________________________________

Address 2: ____________________________________________________________

City: ________________________   State: _______________  Zip: ______________

Phone Number: ________________________ Facsimile: ______________________

Email Address: ________________________________________________________

Federal License Number: _______________________________________________

 Contribution Commitment:

Full Voting Membership ($5000.00): _____________

Non-voting Membership ($2500.00): _____________

Sustaining Member ($1000.00):          _____________

New members are advised that the information provided to the membership of the FAIR Trade Group can be confidential and/or sensitive in nature and is not intended for redistribution to individuals or entities outside of the FAIR Trade Group without receiving prior written approval.  Further, the membership agrees as part of participation in FAIR not to forward or disseminate in any way the information provided by FAIR to individuals or entities outside of their organization or the organizational membership.  Members are advised to educate Employee Contacts of this policy and to help protect the interests of organization by adhering to the policy.

I have read and understand the restrictions regarding further dissemination of FAIR materials:

Signed: _________________________  Title: _________________ Date: ____________

Mail or Fax form to :

FireArms Import/Export Roundtable Trade Group
1990 M St N.W.
Suite 200
Washington, DC 20036

FAX: 202-296-2675