IPATA
Associate Membership Application
Please provide accurate and complete information. Applications containing false or misleading information will be rejected.
Company Information
(Please include the international dialing code for your country in all telephone/fax numbers.)
For IPATA Use Only
IPATA Ref #:
Date Received:
2016 -
Company
Name
Physical
Location
Street Address
Mailing
Street Address
City
Province/
State /
Postal Code
Country
City
Province/
State /
Postal Code
Country
Company
Website
(English Required)
Office Phone 2
Office Fax
Company
Email
Office Phone 1
Office After
Hours Phone
How did you
hear about
IPATA?
Business
Structure
Type of
Business
☐Internet
☐Magazine
☐IPATA Member
☐Other
☐ Corporation
☐ For Profit
☐ Airline
☐ Port Handler
Member Name
Other
Description
☐ Partnership
☐ Sole Proprietorship
☐ Non-Profit/Charity
☐ Industry-related Organization
☐ Supplier
☐ Franchise
☐ Port Handler
Mission
Statement
Background /
Description
to be
included on
IPATA
website.
Company Contacts
Primary Contact
First Name
Title/Position
Office Telephone
Cell Phone
☐ Ms.
☐ Mrs.
☐ Mr.
☐ Dr.
Add contact to IPATA Group Email List:
Last Name
Direct Email
Office Fax
Free Phone
☐ Yes
☐ No
Contact 2
First Name
Title/Position
Office Telephone
Cell Phone
☐ Ms.
☐ Mrs.
☐ Mr.
☐ Dr.
Add contact to IPATA Group Email List:
Last Name
Direct Email
Office Fax
Free Phone
☐ Yes
☐ No
Accounting
Contact
☐ Ms.
☐ Mrs.
☐ Mr.
☐ Dr.
Add contact to IPATA Group Email List:
☐ Yes
☐ No
First Name
Title/Position
Office Telephone
Cell Phone
August 2013
Last Name
Direct Email
Office Fax
Free Phone
IPATA: Associate Membership Application
Page -2-
Species You Provide Services For
Provide Products or Services
Species
Birds
Dogs & Cats
Exotics
Fish
Provide Products or Services
Species
Horses
Lab Animals
Livestock (Small)
Other
☐
☐
☐
☐
☐
☐
☐
☐
Other Professional Associations You Belong To
Organization Name
Organization Name
Organization Name
Year joined
Year joined
Year joined
Affirmations
☐I have read and certify that I meet the Associate Member Requirements (Page 3)
☐I have read and agree to comply with the IPATA Membership Criteria (Page 3)
☐I have read and agree to comply with the Code of Ethics (Page 4)
☐I have read and agree to comply with the By-Laws
Please read the By-Laws.
By my signature below, I certify that
The information provided on this application is true and correct to the best of my knowledge. It is understood that acceptance of this
application by IPATA is subject to verification as to the accuracy of the information listed. All information provided will be kept
confidential to IPATA, its Officers, Directors and Membership Committee and is for the sole purpose of determining eligibility for
membership in IPATA.
Signature of the person submitting this application
Type the full name of the person submitting this application
Company Name
Submission Date
Method of Payment
All Payments Must be Made in US Funds
A non-refundable application fee of $500.00 (All fees must be paid in US Currency) is due with this application. Please note that payment of the
application fee must be received before your application can be processed. For credit card payments, the application fee will be charged when the
application is verified as complete; the pro-rated dues payment will be processed only after the application has been approved. A receipt for all
payments will be sent to the applicant.
$400.00
$
# Months __________ left in year x $100.00 = $
$
Applies to Dues Payment only
$
Total Payment Enclosed / Authorized
$
Non-Refundable Application Fee:
Annual Dues:
$1,200.00
Processing Fee
I am paying by
☐
Check (Enclosed)
☐
Credit Card
Name on credit card
CC Number
Expiry MM/YYYY:
Postal Code of Billing Address
Submitting Your Application
Submit your application to
B. J. McGee, Membership Services Coordinator: bj@ipata.com
Direct Line: +1 903 769-2848 Fax: +1 903 705-6922
IPATA
2129 South FM 2869 Suite 4
Hawkins, TX 75765
USA
+1 903 769-2848
December 2013
CCV #
IPATA: Associate Membership Application
Requirements for "Associate" Membership
Associate membership is open to those who provide goods and services to professional pet shippers. If
you ship pets as part of your business, you would need to apply for an "Active" Membership (with the
exception of airlines who qualify as associate members).
Prospective members are required to read and understand IPATA’s Membership Criteria, Code of
Ethics and By-Laws.
IPATA MEMBER RESPONSIBILITIES (“Membership Criteria”)
Implemented by IPATA’s Board of Directors, December 4, 2008
1. It is agreed that it is my responsibility to continuously meet the licensing and business requirements of my
home country, state/province and city; that failure to meet these requirements may result in my IPATA
membership being revoked.
2. I agree to follow the IATA standards for shipping and handling of animals which includes following the
IATA recommendations regarding tranquilization, crating, care and handling during air transport.
3. I agree to follow the animal welfare regulations of my country and the destination countries of my
shipments as it relates to the care and handling of animals during transport.
4. I understand that, as a member in good standing, I may display the IPATA MEMBER logo on my
promotional materials and website. I understand that IPATA does not “endorse” any IPATA member and
that IPATA has the right to require changes to any promotional materials or website that incorrectly
makes reference to the relationship between IPATA and a member. If my company status changes,
through termination of membership or non-payment of dues, and I am no longer a current member of
IPATA, I understand that it will be my responsibility to remove the IPATA MEMBER logo and reference
to IPATA membership from my website and promotional materials immediately.
5. It is understood that each IPATA company is individually owned and operated. As such, each is
responsible for establishing their own business practices related to policies, pricing, payment terms and
customer service.
a. Each member is responsible for resolving complaints directly with clients or other IPATA members.
b. If complaints are filed directly with IPATA, the member will be notified of the complaint so that it can be
resolved either through direct negotiation with the complaining party or through appropriate legal
channels.
It is understood that the membership status of a current member may be referred to the Ethics Committee
for violations of the above Membership Criteria, the Code of Ethics or the By-Laws and membership may
be revoked or other appropriate penalties applied for just cause.
December 2013
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IPATA: Associate Membership Application
Page -4-
IPATA Code of Ethics
As a member of the International Pet and Animal Transportation Association, I recognize that in order to
fulfill my obligations to the animals in my care, to my customers and to the animal transportation industry
my business must be governed by honorable standards.
Therefore I pledge:
1. To provide the highest standard of care for the animals entrusted to me, being constantly attentive to their
security, safety and well-being, and to place their welfare above all other business concerns.
2. To obey all applicable international, federal, state and local laws as well as licensing requirements
governing animal care and transportation.
3. To respect the issuing and registration of all patents, trademarks and copyrights.
4. To deal honestly and fairly with my colleagues and with the public including paying all accounts due
according to the terms agreed upon as well as to represent my products and services fairly and honestly.
5. To avoid any slander or defamation of my colleagues and to avoid unfair competitive practices, actions or
business practices in general which would result in dishonor upon or distrust of my colleagues or the
animal transportation industry in general.
6. To respond within 30 days to any notification by the IPATA Ethics Committee of a filed complaint.
December 2013