Marketing and Communications Council

Marketing and Communications Council - Join Form
Thank you for your interest in joining the Marketing and Communications Council (MCC). 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 Marketing and Communications Council. I recognize that council participation is conditional on my company’s continued good standing as a MEMA. Original Equipment Suppliers member. I also recognize that in order to maintain the integrity of the council substitutes are not allowed at meetings. I agree to pay a $1,000 annual fee for my participation, to be invoiced by MEMA. Original Equipment Suppliers.
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. Please check the appropriate box below:*

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I understand there is an annual fee of $1,000.00, Please:

Contact me for credit card informationInvoice me
Comments or Requests:
Should be Empty: