Partner Membership Application

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Partner Membership Application

To become a partner member of Manufacture Alabama, fill in the boxes below, and enter your credit card information or put your payment in the mail to us. Our security certificate features 128-bit SSL encryption so your information is safely viewed only by Manufacture Alabama. You may also download an application form to fax or mail in. You must have Adobe Acrobat Reader to view the downloadable form (available at bottom of page).

application for partner membership

Company Name:

Mailing Address:

City: State: Zip: County:

Phone:( ) ext. Fax: ( )

Primary Contact: Title: Email:

Company website (for listing): Primary Business Activity:

Annual Gross Sales in AL: Dues Amount (see dues structure below):

Referred By:

I will be mailing in a check: I will be paying by credit card:

Name as it appears on credit card: Type of Card

Billing address for Card (if different from above):

Credit Card Number: Expiration Date (mo/yr):

Additional Contacts (if applicable): *See notation on company designees.

Name: Phone:

Name: Phone:

Name: Phone:

Unless expressly indicated below by the Partner member, the Manufacture Alabama Board of Directors reserves the right to transfer Partner Dues to JOBS PAC, the Manufacture Alabama Communications Fund, or the association's operations.
Please place our company dues only in MA operations.

Our security certificate features 128-bit SSL encryption so your information is safely viewed only by Manufacture Alabama.

Make Checks Payable to: Manufacture Alabama 401 Adams Avenue, Suite 710 Montgomery, AL 36104 Phone: (334) 386-3000 Fax: (334) 386-3001
	Partners
	Those companies which provide supplies, consulting, technical services, laboratory, construction, maintenance, transportation, legal, accounting, management, personnel, misc. other services, or otherwise support the manufacturing industries in Alabama. Partners must have a presence in the State of Alabama, either a physical location or sales operation. Partners may serve on any Standing Committee or any other committee appointed by the Board of Directors, but may not serve on the Board of Directors or as an officer of the Association, nor vote on matters subject to a vote of the Association membership.

Partner Dues:

Dues from Partner members will provide a stable funding for JOBS PAC and Manufacture Alabama's communication program.

Gross Sales in Alabama	Annual Dues	#Free Listing* (includes primary contact)
Above $500 million	Negotiated	10
$250,000,001 to $500,000,000	$1,540	8
$100,000,001 to $250,000,000	$1,320	6
$50,000,001 to $100,000,000	$1,100	5
$25,000,001 to $50,000,000	$880	4
$1,000,001 to $25,000,000	$660	3
$250,000 to $1,000,000	$440	2
Up to $250,000	$220	1

* Each company designates one Primary Contact and is encourage to list other in the directory and general participation. Beyond the free listings, additional names can be added for $25.00 per person, per year.

Standing Up For Free Enterprise • Standing Up For Alabama's Manufacturing Jobs • Affecting Outcomes in Montgomery