Membership Interest Form

Thank you for your interest in PMMI membership. There are several membership types each with its own qualifications. Please answer the following questions for determining membership type and pre-qualification.

Once received and reviewed, PMMI staff will forward you a link to the appropriate membership application. If you have any questions or concerns with the process, please contact Heather Harvey at 703-243-8555 or heather@pmmi.org for assistance.

	Your Name:
	Your Company:
	Address:
	Address 2:
	City:
	State/Province:
	ZIP/Postal Code:
	Country:	- Please Select - United StatesCanadaAfghanistanAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAscensionAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegoviBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCentral African RepChadChileChinaColombiaComorosDemocratic Republic of the CongoCook IslandCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFijiFaroe IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern andGabonGambiaGeorgiaGermanyGhanaGibralterGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuinea-BissauGuineaGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyz RepublicLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMariana IslandsMarshall IslandsMartiniqueMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlands AntillesNetherlandsNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern IrelandNorwayOmanPakistanPalauPanama (Rep)Papua-New GuineaParaguayPeruPhilippinesPitcairn Islands, HePolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint ChristopherSaint LuciaSalvadoreSamoaSan MarinoSao Tome and PrincipSaudi ArabiaScattered IslandsSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and thSpainSri LankaSt HelenaSt Vincent and the GSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepTaiwanTajikistanTanzaniaTerritorial CommunitTerritorial CommunitThailandTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVaticanVenezuelaViet NamVirgin IslandsWallis and Futuna IslandsYemenYugoslav Republic ofYugoslaviaZaireZambiaZimbabwe
	Contact E-mail:
	Contact Phone::
	Website URL:
	Number of Years in Business:
	Brief Description of Your Products: Please limit your entry to 250 words or fewer.
	What Do You Manufacture?:*	Packaging Machinery Packaging Components and Supplies Packaging Materials and Containers Processing Equipment
	Sales Range:	- Please Select - $0 – 2 million$2 – 4 million$4 – 6 million$6 – 10 million$10 - 20 million$20 - 50 million$50+ million
* Note: If you selected "Packaging Machinery" above, please answer this additional question: Does at least 51% of the manufacturing process of packaging machinery or packaging related converting machinery, as measured by production costs, occur in North America? Yes No

indicates a required field