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APPLY FOR MEMBERSHIP

To apply for membership by mail,
please download and complete
this PDF form
.

MEMBER DIRECTORY

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name, location, or product.

Membership Application

Members of the Perlite Institute work together to learn the most efficient and effective ways to produce market-ready perlite, to build awareness among target industries of of perlite's incredible potential, and to research and then communicate the mineral's properties to end-users.

Company Information

Company Name:

Contacts:

1. Name:
    Title:
    Email:
2. Name:
    Title:
    Email:
3. Name:
    Title:
    Email:

 

Year Established:
Address:
City:
State:
Zip Code:
Country:
Phone:
Fax:
Email:
Website:
Please select the categories that apply to your company:
  Construction   Filtration
  Horticulture   Industrial
  Insulation   Ore
  Supplies & Equipment

Membership Type:

Regular Member:(i.e. Expanded Perlite Producer)
  $2,215
 
Ore Producer Member:
  $2,215 (0-25,000 tons per year)
  $5,510 (25,000-250,000 tons per year)
  $11,025 (more than 250,000 tons per year)
 
Furnace Producer Member:
  $2,215
 
Associate Member:(i.e. Roof Deck Mfg.)
  $555
Educator Member:
  $150
 

Payment Information:

Total Amount Due:   
Select Card Type:
Card Number:
Exp Date:    example: (MM YY)
Security Code (on back):
Name on Card:
 
 

  

Questions can be directed to:
The Perlite Institute
2207 Forest Hills Drive,
Harrisburg, PA 17112
717-238-9723 | 717-238-9985 fax

Membership year spans from
January 1 - December 31