Affiliate Membership Application

Join now and promote aquaponics and your business!

 

Business Name
Contact Name
Contact Title
Business Mailing Address
Address line 2
City
State/Province
Country/Region
Zip or Postal Code
Business Phone
Cell or Mobile Number (optional)
Contact Email Address
Confirm email address
Business Website URL (optional)
Reference contact name
Reference phone number or email
Reference contact name
Reference phone number or email
Why did you join the Aquaponics Association and what do you hope joining will do for your business? (optional)
In 100 words or less, describe your business - you may want to include a mission or vision statement, or describe your services or what products you provide. This description will be included with your Affiliate listing on the Association website.
Would you be willing to offer a discount or benefit to Association Members?
If yes, what discount or benefit will you offer?

The Aquaponics Association requires that all affiliated members follow a Code of Ethics. You can review them by clicking here.

?
You must select yes for your application to be accepted. Please review the Code of Ethics at http://aquaponicsassociation.org/members-area/affiliate-members/code-of-ethics/
Please enter the captcha to finish your application and go to the payment page
Please enter the captcha to finish your application and go to the payment page
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