AMERIPEN Associate Member Information Survey Fields marked with an * are required. Please verify that you have checked the “I'm not a robot” checkbox. Ok Please provide your organization’s name * Please provide your name and title * Where do your members fall in the packaging value chain? (select all that apply) Raw material producer/supplier Packaging equipment manufacturer Packaging converter Distributor of packaging and/or packaged goods Consumer packaged goods brand Retailer of consumer packaged goods Waste hauler/recycler/composter Other (describe): Which materials do your members supply/manufacture/distribute/use? (select all that apply) Glass Metal Paper/Fiber Plastic Other (describe): Into which end markets do your members sell/use packaging? (select all that apply) Food Beverage Personal care Household care Healthcare Electronics Other consumer goods Industrial/bulk/transit, including e-commerce Other (please list) Packaging-related Policy Issues Which of the following packaging-related policy issues is your organization concerned about/engaged in at the US state and/or federal levels? (select all that apply) Bottle bills/deposit return systems Chemicals of concern (PFAS, etc.) End of life management (recycling, composting, etc.) Extended producer responsibility Labeling Microplastics Product and/or material restrictions Recycled content mandates Source reduction mandates Tariffs Other (please list) Benefit of Packaging Please provide one word or phrase that can be used to highlight the benefit packaging offers to society, as well as a broader explanation of the benefit. Word Phrase Organization Information What is the most valuable part of AMERIPEN membership to your organization? Please provide the mission statement for or a brief description of your organization Upload your organization's logo 20MB max Please provide your organization's website and/or social media links you’d like us to include Please select one of the following options: I grant AMERIPEN permission to use this information and my company's photos on AMERIPEN’s website and other promotions, attributed to my company. I grant AMERIPEN permission to use this information and my company's photos on AMERIPEN’s website and other promotions but not attributed to my company (used anonymously). I grant AMERIPEN permission to use this information for internal purposes only and not share it publicly. Powered By GrowthZone
