WEB APPLICATION FOR MEMBERSHIP
NORTHWEST TOOLING & MACHINING ASSOCIATION
(PRINT THIS PAGE AND MAIL TO ADDRESS BELOW)
FIRM__________________________________________________________________________
COMPANY REPRESENTATIVE ___________________________________________________
TITLE__________________________________________________________________________
STREET________________________________________________________________________
CITY_____________________________STATE______________________ZIP______________
TELEPHONE ( )_________________________ FAX ( )__________________________
EMAIL____________________________________
OUR FIRM IS A ( )CORPORATION ( )PARTNERSHIP ( ) PROPRIETORSHIP
WE ARE PRIMARILY ENGAGED IN :
( ) Tools, Dies & Fixtures ( ) Precision Machining
( ) Molds/Diecast Dies ( ) Aerospace Machining & Fabrication
( ) Special Machines (design or build)
Other specialties _________________________________________________________________
TOTAL NUMBER OF FULL-TIME EMPLOYEES (Excluding office personnel) ____________
The yearly membership dues are $60.00 billed each year in January.
This covers all your employees, not just management or owners)
I hereby certify that the information herein is accurate and complete.
Date________________
Signature:_______________________________________________________________________
Please mail your dues check directly to NWTMA C/O Sandra Lockwood, 18465 SW Lapaz Ct., Aloha, Or 97007.
This information will never be sold to outside parties without your express permission.
Sandra - Please fax me a copy of this form for all new members so I can update the Web Site. - Thanks,
Mike Jasperson 503-232-9727
MEMBERSHIP IS ON AN ANNUAL BASIS AND CONTINUES FROM YEAR TO YEAR . BILLINGS ARE SENT OUT IN JANUARY OF EVERY YEAR.