PINE Information Request Form
PINE would welcome the opportunity to describe our services and the benefits of membership further. You may contact us in person, over the phone, or via e-mail. Contact Joe Venti or Jim Tepper directly, fill out the form below, or call us at 800-365-PINE for more information about membership and joining PINE.
Name:
Position:
Company:
Address:
City:	State:  Zip:
Phone:	Fax:
E-mail:
Primary Business:	Advertising		Newspaper
	Bindery		Prepress Services
	Commercial Printing		Print Broker
	Design & Marketing		Publishing
	Digital Printer		Quick Printer
	Educator		Sheetfed Printer
	Flexographic		Specialty Products
	In Plant		Web Offset
	Industry Vendor		Other
	Internet/Web		If Other:
	Mailing
	Printer with Mailing
	Printer without Mailing
No. of Employees:
Area of Interest: (check all that apply)	Credit Union Collection Services Education Environmental Affairs GATF/PIA-National		Government Affairs Group Discount Buying Insurance Networking
Comments: