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Company: 
Address Line 1: 
Address Line 2: 
City:  State:  Zip: 
County:  Phone:  Fax: 
Web Address: 
Company Description: 
Founded: 
Number of employees:
Full time: 
Part time: 
Products Made: 
Services Provided: 
Training Needs: 

Key Personnel

Name Title E-mail Code(s)*
P D M E
P D M E
P D M E
P D M E
P D M E
*Valid codes are: P=Primary Contact; D=List in Directory; M=Receives Mail & Newsletters; E=Put on E-mail List

Referred by:

Select Membership Type:
In-County Manufacturers:
(under 15 employees)
          Annual Fee: $450.00 (applicable toward training)
(15 or more employees)
          Annual Base Fee: $450.00
          Plus:
              First 200 Employees @ $1.92 each
              Next 300 Employees @ $1.08 each
              Next 500 Employees @ $.96 each
              Next 500 Employees @ $.72 each

          1500 Employees & Over: $1,944.00

            Annual Fee: $400.00


            Annual Fee: $450.00


            Annual Fee: $100.00

 
Want to speak with someone about JAMA?
Call during business hours at 517-782-8268.

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