Associate Membership Application

Associate Membership dues are $836 for a twelve month period and are 90% tax deductible as a business expense.

TWO ways to join.

Click HERE to access a printable application. Complete and mail application along with a check for $836 payable to:

IAAP
1115 S 2nd St
Springfield, IL 62704

Complete the ONLINE APPLICATION below and pay by credit card.
Please note: if paying by credit card there is an additional $28 convenience fee.

Business Information (for listing in the IAAP Membership Directory)

* Indicates required field

Company *

Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Business Phone Number *

Business Email *

Website *

Company Products/Services *

Please list any additional locations you would like included in the membership directory. Include address & phone number. *

Name of Person/Company encouraging you to join *

Each company should designate a primary contact. Dues billing will be directed to this person.

Primary Contact Person *

First

Last

Position *

Phone Number *

Email *

Primary Contact Person Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Secondary contact persons will be added to the IAAP contact list and will receive information regarding IAAP events, news and other important updates to the mining industry.

Person 1 *

First

Last

Mailing Address *

Email *

Phone Number *

Person 2 *

First

Last

Mailing Address *

Email *

Phone Number *

Email [email protected] if you have additional contacts to be added to the IAAP contact list.

Submit