The undersigned hereby makes application for membership in the Racine Area Manufacturers and Commerce, Inc.  It is understood by the firm or individual that this application is subject to the approval of the RAMAC Board of Directors.

The applicant and the Racine Area Manufacturers and Commerce, Inc. agree that this membership will remain in force until the firm or individual submits a written resignation or until the membership is revoked by the RAMAC Board of Directors.

APPLICANT INFORMATION

Business Name *

Business Address *

City *

State *

Zip Code *

Business Phone *

Fax *

Email *

Web Site

Date Company Founded *

Total Number of Full Time Employees and Part Time Equivalents *

Individual Responsible for Personnel Function *

SIC Code

Payment Method * Check by Mail Credit Card (entered on next page)

Please Indicate Type of Business * Retail Service Professional Financial Institution Manufacturer Education Hospital or Health Care

A brief summary of your business for our RAMAC Report *

Yellow Page Category Listing *

Are you unionized? * Yes No

If yes, what union?

Owner/Manager/CEO *

Title

Who else would you recommend for membership in RAMAC?

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