Membership Interest Form| PMMI

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 Andrew Dougherty, Vice President, Member Services at [email protected] or 571.287.6819 for assistance.

Company Name

Company Website

Contact Name

Contact E-mail

Contact Phone

Are you a manufacturer of:

Packaging Machinery

Processing Machinery

Converting Machinery

If yes to any of the above, what % is manufactured in North America? (If less than 51%, plant address will be required below)

Packaging/Processing Machinery Components

If yes to above 2 questions, you will be required to provide 3 PMMI general member references, will you be able to?

Packaging Materials

Primary Address

*If you manufacture packaging, processing or converting machinery outside of North America this will be your Incorporated North American facility that supplies sales, parts and service. This address will be used for billing & shipping)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Number of Employees at this Location

Number of Years this Location has been in Operation

Are You Incorporated in North America?

Headquarters/Corporate Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Plant Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Number of years applicant company has been manufacturing eligible equipment (hover over below text field for more information)

Sales Range of eligible products or services ONLY

Brief description of your business, products or service provided

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