MEMBERSHIP HAS ITS ADVANTAGESWELCOME TO THE NETWORK THAT’S NATURALLY GOOD FOR BUSINESS

MEMBERSHIP APPLICATION

RETAILERS IN THE NATURAL PRODUCTS INDUSTRY SHAPING THE CONDITIONS UNDER WHICH WE DO BUSINESS

NPAnational.org

IS MEMBERSHIP FOR ME? • If you work in the dietary supplement space, then membership is right for you. • If you work in the personal and home care sector, then membership is right for you. • If you work in the foods arena, then membership is right for you.

• If you work in any part of the natural products industry, then membership is definitely right for you.

Join the association that provides members with a strong voice on Capitol Hill, with regulatory agencies and in the mainstream media, while offering certifications and education that increase consumer confidence and improve your bottom line.

ADVOCACY The most important benefit of NPA membership is the legislative and regulatory protection that it supports. NPA is the industry’s leading voice in Washington D.C. with a powerful lobbying presence and influential grassroots networks at the national, state and local levels. These networks are mobilized to fight against attacks on the industry and consumer. Members can count on NPA to advance the legislative and regulatory priorities of a growing and vital sector of the American economy. NPA is keeping the industry in business.

MISSION STATEMENT

As the leading voice of the natural products industry, the Natural Products Association’s mission is to advocate for the rights of consumers to have access to products that will maintain and improve their health, and for the rights of retailers and suppliers to sell these products.

VISION STATEMENT

The Natural Products Association strives to achieve a broader, more accessible marketplace for natural products that will improve the quality of life for consumers worldwide.

SECTION 1

Check all products you sell in your store.

Food Health & Beauty aids Dietary supplements In-store café or juice bar Herbal products Pet food Baby products Pet supplements Home care Pet care products Probiotics Sports Nutrition

SECTION 2

How many employees do you have? _____

How many store locations do you have? ________

Is your company a corporation? Yes No

SECTION 3

1 - 2 locations

Annual revenue to be based on natural products sales US INDUSTRY REVENUE DUES AMOUNT $0 - $500,000 $199 $500,001 - $1,500,000 $499 $1,500,001 + $999

3 - 10 locations $2,499 Large Retailer (11 or more locations)

US INDUSTRY REVENUE DUES AMOUNT $0 - $3,000,000 $2,630 $3,000,001 - $5,000,000 $3,620 $5,000,001 - $12,000,000 $5,360 $12,000,001 - $16,000,000 $7,420 $16,000,001 - $25,000,000 $10,740 $25,000,001 - $50,000,000 $13,420 $50,000,001 - $100,000,000 $23,560 $100,000,001 and above $42,000

Annual Revenue $___________________

SECTION 4

Voting member contact and communication details:

Name _________________________________________________ (FIRST) (LAST)

Title __________________________________________________

Company/Store ________________________________________

______________________________________________________

Address _______________________________________________

______________________________________________________

City _______________________________ State ______________

Zip _______________________Country _____________________

Telephone _____________________________________________

Cell Phone _____________________Fax _____________________

Email (Required) ________________________________________

Website _______________________________________________

Did a member of the Natural Products Association refer you? Yes No

Company Name ________________________________________

Name _________________________________________________

SECTION 5

PAYMENT MEMBERSHIP DUES ARE NONREFUNDABLE

Dues Amount $_______________ Master Card Visa American Express Check # _________

Card Number ______________________________________________________ Billing Zip Code _______________

CID#* _______________________ Expiration Date ______________________

Cardholder Name ___________________________________________Cardholder Signature ____________________________________

*You must provide your Credit Card Identification Number (CID) that is located on the back of your Visa or Master Card (3 digit) or on the front of your AMEX (4 digit). Membership dues paid by credit card will be auto-renewed on the membership expiration date. Please contact NPA 30 days prior to the expiration date if you do not wish to renew.

Please initial that you have read and accepted the Natural Products Association Code of Ethics on reverse page: __________ Date ____________________

AS A MEMBER OF THE NATURAL PRODUCTS ASSOCIATION, I WILL ADHERE TO THE FOLLOWING CODE OF ETHICS:

1. I shall sell or supply nutritional foods, dietary supplements, and related products and services that may be helpful to consumers who seek to maintain or improve their health.

2. I shall sell only those products and services that are truthfully and legally labeled.

3. I shall engage in treatment, diagnosis, or prescribing only if lawfully licensed to do so.

4. I shall engage only in business practices that are legal, including marketing and advertising that is truthful and non-misleading.

5. I shall support with individuals and organizations to increase nutritional information and enhance consumer rights.

6. I shall be responsible and ethical in my relationships with customers, employees, peers, competitors, governments, and neighbors.

7. In the pursuit of this code and these goals, I will defend our First Amendment right to freedom of speech and press to lawfully impart truthful information concerning diet and nutrition, and will defend the health freedom right of consumers to obtain such information from the sources that they may choose.

QUESTIONS? PLEASE CONTACT US.

(202) 223-0101membership@NPAnational.org

PLEASE RETURN THIS APPLICATION VIA

Email: membership@NPAnational.org Fax: (202) 223-0250Mail: NPA – New Member Welcome Center PO Box 347136 Pittsburgh, PA 15251-4136