MFG Membership Application

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:
E-mail: *
Cell Phone: *
Office Phone (including extension): *
Company Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Brief Description of Business and Products:
How can the VMA help your company?

(You may select more than one from each section.)

I would like to know more about:
VMA Conferences Regional Events Training and Workforce Credentials for my Employees Insurance Options 401(k) Plan Options Networking Opportunities Free VMA Webinars Member Discounts

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Company Contacts *
Billing Contact ?
Billing Contact E-mail:
Billing Contact Phone Number (including extension):
HR contact ?
HR Contact E-mail:
Marketing contact?
Marketing Contact E-mail:
Chief Financial Officer (CFO)?
CFO Contact E-mail:
Annual Investment Amount Calculation

The VMA MFG Membership Annual Investment Rate is calculated based on the number of Full Time Equivalent Employees and Capital Investment.

Note: 2 Part Time Employees or 1 Full Time Contractor = 1 Full Time Equivalent Employee