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)
Physical Address
Zip Code
Mailing Address (IF DIFFERENT):
Zip Code
May We Share Your Company Contact Info With Other Members?
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


Effective January 1st

Number of Employees
101 to 200
201 +

Currently pro-rating at 25% for last quarter of 2018
On approval, you will be sent an invoice for membership dues

I would like to receive information on the following Education & Training
Member Services
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?

Click to Print This Page for Your Records Before Submitting

*Please confirm your information before selecting 'Submit'.

Enter form security code:

"A perfect speaker, at the perfect time. Your event always sets the tone for a business gathering in southcentral PA"   Annual Event attendee at 
Penn State's Pullo Center in York, PA
The Manufacturers' Association
320 Busser Road, 2nd Floor
P.O. Box 493
Emigsville PA, 17318
(717) 843-3891