Capital Area Manufacturing Council Membership Form

COMPANY:
WEBSITE:
PHONE:
 FAX:
STREET ADDRESS:
ADDRESS 2:
CITY:
COUNTY:
STATE:
   
ZIP:
   
 
FULL NAME: TITLE: EMAIL: PHONE:CODE:
P D M E
P D M E
P D M E
P D M E
P D M E
Code Key: P = Primary Contact, D = List in Directory, M = Receives Mail, E = Put on Email List  
 
 
COMPANY
DESCRIPTION:
FOREIGN-OWNED?
    MAJORITY     PARTIALLY
EXPORT GOODS?
 AUTOMOTIVE SUPPLIER?
PRODUCTION UNIONIZED?
 UNION NAME:
FOUNDED:
 NO. EMPLOYEES:
PRODUCTS MADE:
SERVICES PROVIDED:
GENERAL COMMENTS:
 
REFERRED BY:
 
 

Select membership type:

Manufacturer or Manufacturing-Related Company (see annual dues below)

$150 – under 10 employees
$250 – 10-19 employees
$300 + $1 per employee – for 20 or more ($600 max up to 1500 employees)
Firms with 1,500+ employees should contact CAMC

If interested in membership as a “related company” (firms demonstrating a strong, direct relationship to manufacturing may be approved for full membership), the “provide invoice” payment method is recommended.

Enter NAICS or SIC code if known



Associate Membership - $450 annually

Indicate Payment Amount and Method:

Enter Amount: $

Check/Money Order (payable to Capital Area Michigan Works)
Provide Invoice


Today’s Date

Send payment to:

CAMC C/O Capital Area Michigan Works!
2110 South Cedar Street
Lansing, MI 48910


Please double-check the information you provided above. Once you have verified that all information is correct, click the SUBMIT button.

Key Partner
Lansing Community College
Michigan Regional Skills Alliances


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