Northwest Mining Association

Northwest Mining Association
Corporate Membership Application and Renewal

Contributions or gifts to NWMA are not deductible as contributions for federal income tax purposes. However, dues payments are deductible by members as an ordinary & necessary business expense. NWMA has estimated that 25% of the 2008 dues are allocable to lobbying which IRS Sections 162(E)(3) and 6033(E)(1) as amended apply. Consequently, this portion of the NWMA dues is not deductible for federal income tax purposes.

	New Member Renewal
Company
Mailing Address
City
State/Province
Postal Code
Country
Web Site

Primary Member Name
Primary Member Mailing Address
Primary Member City
Primary Member State/Province
Primary Member Postal Code
Primary Member Country
Primary Member Phone
Primary Member Fax
Primary Member E-mail

Secondary Member Name
Secondary Member Mailing Address
Secondary Member City
Secondary Member State/Province
Secondary Member Postal Code
Secondary Member Country
Secondary Member Phone
Secondary Member Fax
Secondary Member E-mail

Corporate Dues

$25,000	$20,000	$15,000	$10,000
$7,500	$5,000	$3,000	$1,500
$1,000	$750	$500

Member Information (Check all that apply)

Major Mining Co.	Primary Gold Producer	Coal Producer	Exploration
Junior Mining Co.	Base Metal Producer	Industrial Minerals Producer	Education
Land Services	Engineering Services	Equipment Manufacturing	Government Agency
Legal Services	Environmental Services	Equipment Supplier	Business-Financial Services
Laboratory Services	Drilling Contractor	Geophysics - Geochemistry	Computer Software
Operations	Explosives	Geology	Project Management
Other

My Company has interests in the following states/provinces/countries:

My Top 5 Areas of Concern Are:

Abandoned Mine Lands Cleanup & Reclamation	EPA Mining Policy	Research
Finance & Tax	State Regulatory Reform	BLM & USFS Regulations
Grassroots Organizing & Coalition Building	Student/Teacher Education	CERCLA (Superfund)
U.S. Mining Law Reform	Clean Water Act Reform	Public Lands Access
Worker Health & Safety	Endangered Species Act Reform	Public & Media Relations
Other