Membership Application

The Alabama Grocers Association is committed to advancing the success of Alabama’s food industry through proactive advocacy, industry education, strategic public relations, and valuable networking opportunities.

Membership Application

X/Twitter
This field is for validation purposes and should be left unchanged.
Company Name (required)*
Contact Name (required)*
Title (required)*
Billing Address*
Street Address Address Line 2 City State ZIP Code
Email*
Enter Email Confirm Email
Website
Company Logo
Max. file size: 100 MB.
Phone
Referred By
Paragraph about your company
Classification*
Number of all Stores (Retailer)
This includes all stores, even out of state stores.
Annual Dollar Volume (Wholesaler)
Retail Classification:
One store: $300.00
Each additional store: $100.00
Up to a maximum of: $4,000.00

Wholesale Classification:
Wholesaler: $1,750.00

Vendor (Price based off of overall sales of the entire company, not just Alabama sales.):
Sales of less than $1 million per year: $350.00
Sales of more than $1 million per year: $700.00
Membership Amount*
Membership Dues Total
$0.00
Credit Card
Card Details
Cardholder Name