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Membership Application

Please print this page, fill out and send with your business card to:
Toy Association of Southern California
520 W. 23rd Street, Los Angeles, CA 90007

Name:
Firm:
Title:
No. of Employees:
Address:
City:
State:
Zip Code:
Telephone:
Fax:
Email:
Website Address:
Signature:
Date:
What is the nature of your business? Manufacturing Importing Wholesale Exporting Other:   Describe your products:
Where do you do business? Asia Central/So. America Mexico Europe Middle East Canada Africa Other
Who referred you to TASC? Member Name:_______________________ Government Agency Other:______________________________
What topics interest you? Product Safety Product Development/Prototyping Intellectual Property Export Opportunities Other:__________________ Financing/access to capital
Please check membership category that applies to your business. See Membership Information for definitions. Core Member Affiliate Member
Additional Representatives:
Amount Enclosed:	$
Check #:
Payable to Toy Association of Southern California Employer ID# 95-4562920