Application for Membership COMPANY INFORMATIONOrganization Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*FaxWebsite* Name of Company's Primary Representative to NCA* First Last TitleRepresentative's E-mail Address* Enter Email Confirm Email Referred by (Name & Company)Briefly describe the products or services your company offers to the candle industry:*Trade or Professional OrganizationsOn occasion, NCA collaborates with other industry trade groups on matters of mutual concern. Please indicate any other trade or professional organizations in which your company holds a membership. American Cleaning Institute (ACI) Association European Candle Makers (AECM) Consumer Specialty Products Association (CSPA) European Candle Association (ECA) IFRA North America (IFRANA) Latin America Candle Manufacturers Association (ALAFAVE) Categories*FragrancesManufacturersSuppliersGlassDispersionsInnovationsAdditional individuals in your company that would like to receive the NCA Publications and Alerts:Name First Last Email Name First Last Email MEMBERSHIP CATEGORYSelect the correct category of membership:REGULAR MEMBER:* YES, I'D LIKE TO BECOME A REGULAR MEMBER Manufacturer or Distributor of candles or candle accessories at the wholesale level in the US and Canada. If more than 49% of the candles and/or candle accessories are manufactured outside of the US and Canada, then the company is not eligible for REGULAR MEMBERSHIP but instead will qualify as an AFFILIATE MEMBER (see below).Regular Member applicants please select one of the following:* I am a Candle and/or Accessory Manufacturer Subclassification A I am a Candle and/or Accessory Manufacturer or Distributor Subclassification B A Regular Member Manufacturer is a person or entity which, meeting all the requirements of Regular membership, is a manufacturer domiciled in the US which is not owned, directly or indirectly, in whole or in part, (i) by a person domiciled or residing outside of the US, or (ii) by an entity organized under the laws of or headquartered in a jurisdiction outside of the US. OR A Regular Member Manufacturer/Distributor is a person or entity meeting all the requirements of Regular membership, but not meeting the requirements for the Regular Member-Manufacturer subclassification, above.ASSOCIATE MEMBER:* YES, I'D LIKE TO BECOME AN ASSOCIATE MEMBER Company which supplies products or services directly to manufacturers or distributors of candles or candle accessories (such as containers, dyes, fragrances, waxes, wicks, etc.) at the wholesale level in the United States or internationally. AFFILIATE MEMBER:* YES, I'D LIKE TO BECOME AN AFFILIATE MEMBER Retailer of candles and/or candle accessories. In addition, a Manufacturer or Distributors of candles or candle accessories at the wholesale level in the United States of America, Canada and Mexico qualifies as an Affiliate Member if more than 49% of the candles and/or candle accessories are manufactured outside of the U.S., Canada or Mexico.STUDENT AFFILIATE MEMBER:* YES, I'D LIKE TO BECOME A STUDENT AFFILIATE MEMBER A secondary academic institution that enrolls students in curricula that could lead to careers in the candle industry is eligible for Student Affiliate membership in this Association. Students enrolled in the institution are eligible to attend the Annual or special meetings of the NCA and may participate in committees and other activities of the Association, but the Student Affiliate member institution is not entitled to vote.DUESPlease consult the Dues Schedule. For a PDF version of the application, click here. 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