HR Council - Join Form

Thank you for your interest in joining the Human Resources (HR) Council. Please complete the following form to apply for council membership. All submissions are subject to approval.

Please accept my request to join the MEMA. Original Equipment Suppliers HR Council. I recognize that council participation is conditional on my company’s continued good standing as a MEMA. Original Equipment Suppliers member. I agree to pay a $1,100 annual fee for my participation and will designate an alternate to attend in my absence.

Main Council Participant:*

First NameLast Name

Title:*

Ex: VP, Sales

Email:*

Contact Number:

Area CodePhone Number

The Council Directory will include your name, title, company name, email and phone number. It is only accessible to other council members and their alternates. Please check the appropriate box below:*

Yes, I would like to be included in the council directory.No, I DO NOT want to be included in the council directory.

Alternate Council Participant:

First NameLast Name

Title:

Ex: VP, Sales

Email:

Contact Number:

Area CodePhone Number

The Council Directory: Please check the appropriate box below:*

Yes, I have received authorization from my alternate to include them in the council directory.No, I DO NOT want the alternate to be included in the council directory.No alternate is designated at this time.

Company Name:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

I understand there is an annual fee of $1,100.00, Please:

Contact me for credit card informationInvoice me

Comments or Requests: