Online Application - AMPD : The Associated Master Painters and Decorators of Philadelphia, :: AMPD : The Associated Master Painters and Decorators of Philadelphia,

Membership Application

Associated Master Painters & Decorators of Philadelphia, Inc.
36 South 18th Street, PO Box 15959
Philadelphia, PA 19103
Phone (215) 568-3070 Fax (215) 568-3115

Your Company Name*
Company Representative Name*
Company Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Fax Number
Section Break
Painter Membership
I submit my application for Painter Membership in the AMPD of Philadelphia, Inc.

By checking the box below, I agree to abide by the By-Laws of the AMPD of Philadelphia, Inc.
*
- I Agree
Applicant Name*
First Last
Email*
Phone*
Corporation Number*
Employee ID Number*
Trade Affiliations
I am affiliated with the following trade organizations:
Trade Name
Trade Name
Trade Name
Section Break
Business References
Please use the space below to provide the contact information of any business references:
Contact (1) Name
First Last
Email
Phone
Contact (2) Name
First Last
Email
Phone
Contact (3) Name
First Last
Email
Phone
Dues Payments
Dues payments to the AMPD of Philadelphia are NOT deductible as charitable contributions for federal tax purposes.

Membership

Membership Application

Section Break

Painter Membership

Trade Affiliations

Section Break

Business References

Dues Payments