Company Membership Application Form

COMPANY MEMBERSHIP CLASS AND ANNUAL DUES

Manufacturing Company Membership - $200 per calendar year

(1st year company dues are discounted 50% and are $100 per calendar year.)

Associate Company Membership - $100 per calendar year

Complete the application and select "Done" when finished. An invoice will be sent for your membership dues. Questions? Please email Deborah@lakesareamanufacturers.org

Question Title

1. Company Contact and Billing Information

Company Name

Company Contact Person For This Membership

Company Contact Person's Email

Company Contact Person's Telephone Number

Mailing Address

City

State

Zip Code

Question Title

2. Company Membership Class

Manufacturing Company Membership - $100 for the first calendar year; $200 thereafter

Associate Company Membership - $100 per calendar year

Question Title

3. In order of your interest, please rank the following by moving the items in order of importance to you, with #1" being most important and #5 being least important.

Company Membership Application Form

Question Title

* 1. Company Contact and Billing Information

Question Title

* 2. Company Membership Class

Question Title

* 3. In order of your interest, please rank the following by moving the items in order of importance to you, with #1" being most important and #5 being least important.

1. Company Contact and Billing Information

2. Company Membership Class

3. In order of your interest, please rank the following by moving the items in order of importance to you, with #1" being most important and #5 being least important.