Long Island Import Export Association, Inc.
A Not-for-Profit Organization—Founded in 1982

 Membership Application Form

 
Name                                                                                       Title

 
Company / Organization

 
Street

 
City                                                                                          State                          Zip

 
Telephone                                                                              Fax

 
E-Mail                                                                                      Referred By

 
Brief Company Bio to be listed on LIIEA website

 

 

 

Please add the following names of executives from your company/organization to receive electronic communications. Your membership entitles all of your employees to enjoy the rights and privileges of membership with the LIIEA

___________________________                          __________________________

____________@_____________                           ____________@____________

 

Membership Categories & Annual Dues

International Service Provider

   $250.00
International Business Consultant,
    Agent/Representative

   $250.00
Importer, Exporter, Manufacturer

   $150.00
Government Official  

   $150.00
University Educator    $150.00

Student

    $50.00

 

Membership dues are tax exempt. Consult your accountant.   LIIEA tax I.D.# 112613534.

 

Payment can be made by check or credit card.

 VISA   Master Card   American Express    (Check One)

 

Credit Card #_________________________________    Expiration Date ____________

Please complete this information and return it with your annual dues check to:

Patti Stoff, Managing Director
Long Island Import Export Association, Inc.
2652 Dorothy Street / Bellmore NY 11710
Tel: 516.783.1369  Fax: 516.826.0425