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

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* 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

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* 2. Company Membership Class

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

Associate Company Membership - $100 per calendar year

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* 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.