Apply for Membership

I hereby make application for Membership in The Manufacturers' Association, and if approved, I agree to pay dues as established by the By-laws, and based on the number of our employees (as noted and certified below).

* Required Fields in Red

Please indicate if you are a Manufacturer applying for General Membership or a Non-Manufacturer applying for Associate Membership
I/We are a Manufacturer (General)
I/We are a Non-Manufacturer (Associate)
Company
Physical Address
City
State
Zip Code
Mailing Address (IF DIFFERENT):
Address
City
State
Zip Code
County
May We Share Your Company Contact Info With Other Members?
Website
Email
Phone (ex: 123 456 7890)
Fax (ex: 123 456 7890)
Product or Service Category
SIC or NAICS Code (please provide)
Federal Employer Identification
Number of Employees

Primary Contact**: Name Title Email
Chief Executive: Name Title Email
HR Contact:Name Title Email
Training Contact: Name Title Email
Extra Contact: Name Title Email

2018
Annual
Dues

Effective January 1st

Number of Employees
Dues
1-50
$250
51-100
$500
101 to 200
$750
201 +
$999
On approval, you will be sent an invoice for annual membership dues
I would like to receive information on the following Education & Training
Member Services
Insurance
Other (please contact me)
Extend Our Regular Communications to Other Colleagues in Your Organization
Name 1 Email
Name 2 Email
Name 3 Email
Payment Options: Check - mail to MA, 320 Busser Road, 2nd Floor, P.O. Box 493, Emigsville PA, 17318

Credit Card (Visa/Mastercard) - you will be emailed an invoice with a link so you may pay your membership dues by Credit Card

Invoice Company - valid for members of the Manufacturers' Association

Paypal - not yet available

Where did you hear or learn of The Manufacturers' Association?

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"Thank you ... for participating in our Manufacturer's Summit" Adams County Economic Development Corporation
The Manufacturers' Association
320 Busser Road, 2nd Floor
P.O. Box 493
Emigsville PA, 17318
(717) 843-3891
office@mascpa.org