Join PDM

Which Role Best Describes Your Organization?
Stocking Distributor
Manufacturer

Company Name

Your Name

Street Address 1

Street Address 2

City

State

Zip Code

Telephone

Fax

Website

Number of Branches/Locations

Please List The City, State, and Telephone Number For Each Branch

What Year Was Your Company Formed?

Please Provide A Brief History Of Your Company

Approximate Annual Sales

Approximate Number of Employees?

What Lines And/Or Factories Do You Represent?

How Long Have You Been A Container Distributor?

Do You Perform Any Other Services Other Than Delivery From Your Operation?
EXAMPLES: SILK SCREEN PRINTING, SLEEVE OR PAPER LABEL APPLICATION, BLISTER-SHRINK CARD PACK, CONTRACT FILLING

Is The Company You Listed The Parent Or Subsidiary Of Any Other Company?
If Yes, Please List The Other Companies and Describe Their Relationship.

What Are The Principle Products That You Manufacture?

Do You Have A Specific Distributor Pricing And Relationship Policy? If Yes, Please Describe Your Policy

If You Have Been Referred By A Current PDM Member And Want To List Them As A Reference, Please Enter Them Below.

By submitting this application, you certify that you are a representative of the company or companies listed within the application, thst you are authorized to apply for membership on behalf of the organization(s), and that all answers provided are accurate.