AMBayArea Membership Application

Name

Email Address

Title

Company

Address

Phone

Membership Level Membership LevelManufacturer (Less than 25 Employees) $100Manufacturer (Less than 50 Employees) $250Manufacturer (Less than 250 Employees) $500Manufacturer (Less than 500 Employees) $1,500Manufacturer (More than 500 Employees) $2,000Retired Manufacturer (Individual) $100NPO/Government/Education $350

Manufacturing Sector Manufacturing SectorNon-ManufacturingAerospaceApparel/TextileAutomotive/TransportationBio-MedicalChemicalCommercial Machinery RepairElectronics/ComputersEngineering/EnergyFood/BeverageFurnitureLighting/SolarMachine Shop/PrototypingMachineryMedical DeviceMetal FabricationPackaging/LabelingPaper/PrintingPetroleumPlastic/RubberPowder CoatingStone/Glass/ClayWoodOther (Gifts, Jewelry, Skincare, etc.)

Number of Employees (in Bay Area manufacturing facility)

Please list colleagues (Name, Title, and Email) that should be invited to AMBayArea events (i.e. CEO, CFO, COO, President, VP, Owners, Directors, etc.)

How did you hear about AMBayArea? How did you hear about AMBayArea?AMBayArea NewsletterAMBayArea Social MediaAMBayArea Website via Web SearchAMBayArea Event (Type the event under "Comments")Personal Referral (Please type individual or organization that referred you under "Comments")

Name of individual who referred you:

Are you interested in joining an AMBayArea Committee? Are you interested in joining an AMBayArea Committee?Yes, please send me information on AMBayArea Committees.No, I'm not interested in joining an AMBayArea Committee at this time.