HMS Associate Member Application Form

Hazardous Materials Society

HMS Associate Member Application Form

Fill up the below form to become an associate member.

Fields marked with (*) are required.

Company Name*

Company Address*

Company City*

State:*

Zip*

Contact Person*

Contact Person Email*

Contact Person Telephone*

Description of Goods or Services provided to the hazardous materials | dangerous goods | environment | health & safety communities of practice*.

Annual Contribution for 2020 ($1,195): Payment is by credit card (PayPal)

Enter Payment/Transaction ID*:

Payment is by check accompanied by this form is sent to:

Hazardous Materials Society
9210 Corporate Blvd, Suite 470
Rockville, MD 20850

Confirmation of acceptance of Associate Membership in the Hazardous Materials Society will come via email accompanied by a contribution letter confirming a deductible contribution to HMS’ 501[c][3].