VMA | Membership Application

VMA Membership Application

Company Information

Indicates a required fields.

Membership Type:
First Name:
Last Name:
Job Title:
Company
Address:
Address2:
City:
State/Province:
Zip Code:
Country:
Telephone:	(ex: 703-836-1111)
Fax:	(ex: 703-248-1111)
Email Address:
Web Address:
Personnel Information - Please provide names of management personnel.
In addition, check one of the buttons to designate your Official VMA Representative. The representative will be listed in the directory and will receive membership communications.
Chief Executive Officer Chief Operation Officer:
Marketing/Sales Manager:
Engineering Manager:
Other: (Please also include Job Title)
History & Company Background Information
Company Founded:	(e.g. 1955, 2002, etc.)
Incorporated Where:
	List U.S. and/or Canadian Manufacturing Operations/Divisions/Subsidiaries (if any)
Company or Division:
Location:
Type of Operation:
Company or Division 2:
Location 2:
Type of Operation 2:
Total U.S. Employment:
Overseas Manufacturing Operations:	Yes No
Percent of Total Company Volume by Overseas Manufacturing Operations:	%
Parent Company:
Subsidiaries (other than applicant) in Flow Control Industry:
Products & Market Information
1. You must enter information in one of the three required fields.
Valves Manufactured:
End-User Market/s:
Valve Actuators & Controls Manufactured:
End-User Market/s:
Other Products Manufactured:
End-User Market/s:
Sales Information (not required for Associate Membership)
1. Please fill out dollar amount for a, b and/or c, and you will see the total appear in the total box. 2. Please do not enter commas or periods. (eg. 12000, 25000, etc.)
Valve Sales:	$ (Domestic)
Valve Actuator & Component Sales:	$ (Domestic)
Sales of Other Products:	$ (Domestic)
Total Sales:	$ U.S. and/or Canadian Sales of a Company

Valve Manufacturers Association of America.
1050 17th Street, NW, Suite 280, Washington, DC 20036
Tel. 202.331.8105 | Fax 202.296.0378