AME Corporate Enterprise Membership

Transcription

AME Corporate Enterprise Membership
Application Form
AME Corporate Enterprise Membership
Association for Manufacturing Excellence (AME)
3701 Algonquin Road, Suite 225, Rolling Meadows, IL 60008-3150 USA.
An AME Corporate Enterprise Membership applies to numerous locations within North America. Five key contacts from each
identified location in North America will become full members in AME. All employees, at all locations, are eligible to attend AME events,
including conferences and workshops, at AME member rates. Record for each of your locations the associates you want to be members.
Enterprise Wide Membership Dues: (U.S. funds)
Annual $5,000
Two-year $9,500
Total number of locations:
Three-year $12,750
(Fill in one form for every location)
Payment Information:
You can mail a check (U.S. Funds) payable to: Association for Manufacturing Excellence or pay by credit card.
Send payment to: AME, 3701 Algonquin Road, Suite 225, Rolling Meadows, IL 60008-3150 USA.
Check enclosed
AMEX
Discover
VISA
MasterCard
Account number:
Expiration:
/
(MM/YY)
Confidential fax: (224) 232-5255
Signature (required):
Contact Information for Location:
Company:
Address:
State/Prov.:
ZIP/Postal Code:
First name:
M. Initial:
Email:
Phone:
First name:
M. Initial:
M. Initial:
Second
Employee
Phone:
First name:
Third
Employee
Email:
Fax:
Last name:
First name:
Email:
Phone:
First name:
M. Initial:
Fax:
Last name:
Division/dept:
Job title:
Email:
Phone:
M. Initial:
Fax:
Last name:
Division/dept:
Job title:
Job title:
Fax:
Last name:
Division/dept:
Email:
If paying by credit card or check, please mail
this form to Sue Bouraoui, AME Membership
Coordinator, at AME. For credit card payments
you can email the form to [email protected] or print
and fax it confidentially to 1-224-232-5255.
Last name:
Division/dept:
Job title:
Payment Options
Country:
Division/dept:
Job title:
Forth
Employee
First
Employee
Key
Contact
City:
Security code
Phone:
Phone: (224) 232-5980
Confidential fax: (224) 232-5255
Email: [email protected]
Website:
ame.org
Fax: