Membership Form – Northern California FISA

Members

2026 / 2027
NEW MEMBER APPLICATION

Our Mission:

With over 100 years of history, Food Industry Sales Association of Northern California mission is to encourage positive working relationships in the Grocery community while providing annual scholarship funds to Association members as well as Retailers/Wholesales in Northern California.

New Member Application

Name(Required)

First Last

Display Name (for website)

Username (for website)

E-Mail Address(Required)

Company Name

Business Address(Required)

Street Address City State ZIP Code

Business Phone (Office)

Business Phone (Cell)

Business e-mail

Home Address(Required)

Street Address City State ZIP Code

Home Phone(Required)

Number of Years with your company(Required)

Please enter a number from 1 to 50.

Brands/products represented

Define your job description

Define your territory of responsibility

Number of direct reports

Direct or broker sales force?

What other clubs or trade organizations do you belong to?

Payment in full of FISA dues are required prior to being voted in as a member, choices below:(Required)

Individual Dues are $225

Corporate Dues are $575 (includes up to 3 members per company)

Mandatory events (whether you can attend or not) are Hi-Jinks and either Hall of Fame or Golf Tournament, whichever is held.

Signature(Required)

Members

2026 / 2027
NEW MEMBER APPLICATION

New Member Application

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Members

2026 / 2027 NEW MEMBER APPLICATION

New Member Application

2026 / 2027
NEW MEMBER APPLICATION