Membership Application Company Name:*Management Contact* First Last Title:Address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email Address:* Phone:*Fax:Referred by:Each company is urged to include in NOIA membership every subsidiary or product or service group that has financial interest in ocean-related operations and is considered separate by customers. The gross sales of such subsidiaries shall be included in the total level of gross sales of the principal member for the purpose of establishing level of Association dues; but there will be no additional cost associated with the listing of subsidiary members. Your dues should be reviewed annually (and adjusted as necessary) using the schedule below. Please check the category that accurately reflects your Gross sales allocated to U.S. offshore operations during most recent fiscal year.Schedule of dues*More than $1 billion------- $55,500400 million - $1 billion--- $47,300200-400 million------------ $36,600100-200 million------------ $26,40050-100 million------------- $19,90020-50 million-------------- $17,50010-20 million-------------- $13,1005-10 million--------------- $6,5000-5 million---------------- $5,000Professional Services (i.e. Law Firms, Insurance Underwriters, Financial Institutions & Consultants) ------ $4,000 (i.e. Law Firms, Insurance Underwriters, Financial Institutions & Consultants)Additional Subsidiaries to be included at no additional cost if parent company is a member:Additional Subsidiaries:Company NameAddressManagement Contact Dues are not deductible as charitable contributions for Federal Income Tax purposes; however, 90% may be deducted as an ordinary business expense.