PLEASE INDICATE THE METHOD OF PAYMENT YOU PREFER (Please return a copy with your payment)
Check enclosed: Please make check payable to the National Restaurant Association
Credit Card
Amex Diners Club Discover MasterCard VISA
Name on Card ____________________________________________________________________________________________
Card Number __________________________________________Exp. Date__________________ CSV _______________________
Allied Membership Application
Dues are based on your company’s total annual sales volume. Please refer to the below dues schedule for your dues
amount. Membership dues may vary based on the prorated month you join. For more information, please contact
alliedmembership@restaurant.org or call (855) 514-8115.
$____________________
Annual Sales
Dues from schedule (see below)
$____________________
Dues certification “I hereby certify that the above dues are correct for my total annual sales volume.” Dues payments are not
deductible as charitable contributions. Under the lobbying provisions in the tax code, all member dues would not be deductible as a
business expense.
Signature ______________________________________________________________________ Date _________________________
Key Contact Name ____________________________________________________________________________________________
Company ___________________________________________________________________________________________________
Title __________________________________________ Category of services/products _____________________________________
Phone ______________________________________________________________________________________________________
Email ________________________________________________________________________________________________________
Address ______________________________________________________________________________________________________
City ______________________________________________________________ State _______________ ZIP____________________
If paying by check, please return form to:
National Restaurant Association
P
.O. Box 824032
Philadelphia, PA 19182-4032
Include on Memo Line: Allied Membership
OR
If paying by credit card, please return form to:
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*Allied Membership qualifications and benefits are outlined on https://www.restaurant.org/Membership/Join/Categories. Information and data provided
by National Restaurant Association (“Association”) members are subject to, and will be treated in accordance with the Association’s Privacy Policy as set
forth on www.restaurant.org/Legal-Privacy or as may be amended by the Association from time to time. Membership dues are non-refundable.
Published rates are effective as of October 1, 2020.
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