Application

To become a member or renew your existing membership, please complete the form below. A Spokane Ad Fed representative will contact you for payment information and send out a new member packet. Thank you.

Name   

Title

Email

Company

Address

City

State --Select One--IDWA

Zip

Phone

Fax

Web Site

Company Type
--Select One--Advertising AgencyAudio / Video ProductionCopywriterCorporate CommunicationsEducationGraphic Design / CreativeInteractive / MultimediaMagazineMail HouseMedia Planner / BuyerNewspaperNon-Profit / Public Service OutdoorPaper Manufacturing / SupplyPhotographerPrinterPublic Relations / MarketingRadioResearchSpecialty AdvertisingStudentTalent Agency / Artist RepTV

Company Description: (50 words or less)

Are you interested in serving on a Spokane Ad Fed committee?
Yes No

Would you like information about joining the Spokane Ad Fed Board?
Yes No

Payment Method:
Credit Card Check

Membership Type:
Individual or one person from a firm: $125
2 - 5 people from a firm sign up: $110 each
6 or more people from a firm sign up: $90 each
Educators: $110 each
Non-Profit: $100 each
Students: $60 each