Associate Membership Application

Small MFG Membership Application

Thank you for choosing to be a member of the VMA. Please fill out the information below. A staff member will be in contact with you within 48 hours to answer questions and begin the on-boarding process. Welcome to the team!
Company Name: *
First Name: *
Last Name: *
Title:

Company Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Office Phone (including extension): *
Cell Phone: *
E-mail: *
Brief Description of Business and Products:
How can the VMA help your company?

(You may select more than one from each category.)
Issues most important to your business:

Energy Environmental Workforce Development Tax Safety VA Legislative Affairs
I would like to know more about:

VMA Conferences Training and Workforce Credentials for my Employees Free VMA Webinars Member Discounts Regional Events Insurance Options Networking Opportunities 401(k) Plan Options
The VMA Small MFG Membership Annual Investment Rate is as follows:

1-25 Employees - $263

Payment Option #1:

Once you submit this form, you will receive a confirmation sent to the email provided above. The email will contain a link to our secured online payment portal. Please select "Small MFG Membership" from the dropdown menu and pay online.
Payment Option #2:

An electronic invoice will be sent to the email provided above. Checks should be mailed to:

Virginia Manufacturers Association
P.O. Box 412
Richmond, VA 23218-0412.

Phone: 804.643.7489 FID #: 54-0452521

IMPORTANT: Investments paid to the Virginia Manufacturers Association, Inc. are not deductible as a charitable contribution.

Effective January 1, 1994, Congress restricted the tax deductibility for certain lobbying costs. We estimate that 30% of your Investment is attributable to non-deductible lobbying costs, and 70% of your investment is deductible as an ordinary and necessary business expense.
Who will be the Billing Contact going forward?
Title:
Phone Number (including extension):
E-mail:
To submit application hit the "Apply for Membership" button below. THANK YOU!!
Should be Empty:

Small MFG Membership Application