255 Glenville Road
Greenwich, CT 06831
Tel: (800) 452-1225 Fax: (203) 532-0551
APPA accepts into international membership livestock suppliers which breed/sell domesticated companion animals in the following categories: bird, cat, dog, equine, fish, reptile, small animal.
Livestock must be intended for sale as companion animals at the retail level. Membership applications are reviewed and approved by the APPA Board based on these qualifications.
The undersigned hereby makes application for International Livestock Membership in American Pet Products
Association, Inc. (APPA) and, if accepted for membership by the Board of Directors, agrees to abide by all the rules, regulations and by-laws of said Association.
Directions: Please complete this form in its entirety by typing your response, or where appropriate, indicating
“Not Applicable”. Incomplete information or documentation will delay processing and consideration of this application. The information contained in this application will remain confidential except to the extent necessary for consideration of membership and/or provision of member services. THIS APPLICATION AND
ALL ATTACHMENTS MUST BE SUBMITTED IN ENGLISH OR SUBMITTED WITH ENGLISH
TRANSLATIONS.
1. Company and Key Contact Information:
Firm Name:
Contact Name:
(Ms./Mrs./Miss/Mr.) (First) (Last)
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone (include country code):
Fax: (include country code):
E-mail Address:
Website:

2. Please print the name(s) of any additional individual(s) you wish listed in the database in the positions
indicated below:
Name Email
- Best Practices/EDI ________________________________________________________________
- Billing/Invoicing ________________________________________________________________
- CEO/President ________________________________________________________________
- Export Professional ________________________________________________________________
- Human Resources ________________________________________________________________
- Marketing Director ________________________________________________________________
- MIS ________________________________________________________________
- National Sales Manager ________________________________________________________________
- Public Relations ________________________________________________________________
- Regulatory ________________________________________________________________
- Sales Manager ________________________________________________________________
- Sponsorship ________________________________________________________________
- Trade Show ________________________________________________________________
- Website Contact ________________________________________________________________
- Other (please specify) ________________________________________________________________
Business Profile:
3.
Name the applicant’s type of business entity:
□ Corporation □ Partnership □ Sole Proprietorship
4. Please indicate the type of companion animals you supply:
______ Bird _____ Fish
_____ Cat _____ Reptile
_____ Dog _____ Small Animal
_____ Equine
Please provide a copy of your pet brochure or advertisement indicating that you are a livestock supplier that breeds/sells domesticated companion animals.
5. Are your domesticated companion animals being sold to retail pet shops or distributors?
______ Yes _____ No
Please submit one (1) invoice showing the sale of your animals to a retail pet shop or distributor along with a matching bill of lading showing the shipment of the companion animals from your facility.

6. What percentage of your pet product income is derived from: a. Distribution of companion animals: _______% b. Breeding of companion animals: _______% c. Other: _______%
If Other, please specify: _____________________________________________________________________
7. Do you have a breeding/kennel/cattery facility or distribution center:
__________ Yes __________ No
Please enter the address of your facility:
Address: _________________________________________________________________________________
City/Province: _______________________________________ Country: ____________________________
8. Number of Employees:
Indicate the number of full-time employees in your company (employees in pet products division only).
Company information will remain strictly confidential.
_____ Less than 5 _____ 51 – 100
_____ 6 – 10 _____ 101 - 250
_____ 11 – 25 _____ 251 - 500
_____ 26 – 50
9. Pet Product Sales
As you evaluate your dues category, please indicate which category of total annual worldwide sales of domesticated companion animals is applicable to your company. To ensure accuracy, have your CEO, CFO or certified public accountant or other accounting officer verify the appropriate dues category for your company.
Accurate reporting of member dues is essential to the vibrancy of the Association. APPA reserves the right to conduct random dues level audits at any time. Company sales information will remain strictly confidential
Worldwide
Gross Annual Sales (USD) Annual Dues (USD)
_____ Under $500,000 $930
_____ Between $500,000 to $2,000,000 $1,310
_____ Between $2,000,000 to $5,000,000 $2,450
_____ Between $5,000,000 to $10,000,000 $4,310
_____ Between $10,000,000 to $15,000,000 $6,550
_____ Between $15,000,000 to $25,000,000 $7,530
_____ Between $25,000,000 to $50,000,000 $9,015
_____ Between $50,000,000 to $100,000,000 $10,200
_____ $100,000,000 + $14,415
You have checked ___________________________ as your Gross Annual Worldwide Sales and
___________________ as your Dues Category.

10. I certify that the above information is correct as stated including the fact that my company’s annual sales of domesticated companions for the last fiscal year were in the category indicated above. I understand that should this information be incorrect, this application will be rejected. I further understand that if the application is accepted and later discovered to be incorrect, my company’s membership will be terminated.
□ Yes
11.
Membership applications withdrawn before presentation to APPA’s Board of Directors will be assessed a
$75.00 processing fee. No credit or refund will be issued for the withdrawal of a membership application after the Board’s approval, regardless of reason.
Please note: I understand that if I reserve a booth for Global Pet Expo subsequent to my membership approval, that booth availability and location are not guaranteed. Booth availability is subject to inventory at the time of receipt of my booth application and all booths are assigned on a first-come, firstserved basis.
Name: ___________________________________________ Title: _______________________________
Company: ________________________________________ Signature: ____________________________
Date: ____________________________________________ As an Officer of: ______________________

Items must be submitted in their entirety for application review and approval. Incomplete submission will cause a delay in the membership approval process. Please submit by email, mail or fax.
□
Application signed by an officer of the applicant. (Items left blank or unclear constitute an incomplete
application which cannot be considered.)
□ Please provide a copy of your pet brochure or advertisement indicating that you are a livestock supplier
that breeds/sells domesticated companion animals as indicated in item #4 of this application.
□ Please submit one (1) invoice showing the sale of your animals to a retail pet shop or distributor along
with a matching bill of lading showing the shipment of the companion animals from your facility.
□ Payment in U.S. dollars either by check or credit card for the joining fee ($1,000) plus first year’s dues
based on the annual worldwide sales of your domesticated companion animals (as indicated in item #9
of this application.)
Contributions or gifts to APPA are not tax deductible as charitable contributions for federal income tax purposes. However, they may be deductible as ordinary and necessary business expenses subject to restrictions imposed as a result of APPA’s “lobbying” activities as defined by the Budget Reconciliation act of 1993.
APPA estimates that the non-deductible portion of your dues – the portion thata is allocable to “lobbying” – is
20%.
255 Glenville Road
Greenwich, CT 06831
Copyright © 1998-2014 American Pet Products, Inc.
APPA and American Pet Products Association, Inc. are registered trademarks of the American Pet Products
Association, Inc. All rights reserved. Important Note: See the APPA Web Site Agreement of Use.

Please indicate below the method of payment for your 2016 initiation fee/dues payment of $_________________________
Company:
Address:
City:
State:
Phone:
Email:
3)
1)
2)
(If the amount is not indicated above, you will be charged a $1,000.00 joining fee and the dues amount stipulated on your membership application form.)
_____ Check or money order (must be in U.S. funds drawn on a U.S. bank and made payable to APPA.)
_____ We will pay by wire transfer, please email wire transfer information to:________________________________
_____ MasterCard _____ Visa _____ American Express ________ Discover
____________________________________________________________________________________________________
Account Number CVV Code
____________________________________________________________________________________________________
Expiration Date (MM/YY)
____________________________________________________________________________________________________
Cardholder’s Signature*
*By signing here, you authorize APPA to charge the amount indicated above to your credit card account.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
________________________________________ Province: ______________________________________
____________ Country: ___________________________ Zip/Postal Code: _______________________
________________________________________ Fax: __________________________________________
_________________________________________________________________________________________
Please list a credit card billing address if different from above:
Address: _________________________________________________________________________________________
City:
State:
________________________________________ Province: ______________________________________
___________ Country: _____________________________ Zip/Postal Code: ________________________