Northwest Mining Association

Northwest Mining Association
Individual 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
Name
Title
Company (School if Student)
Mailing Address
City
State/Province
Postal Code
Country
Phone
Fax
E-mail
Web Site

Individual Dues

Active $105.00	Retired $25.00	Full-Time Student $25.00 A copy of a valid student ID must accompany the student rate membership form.
Spouse $25.00

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

I/my Company have 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