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The Management Association
The Management Association

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Membership Application

Please complete the following membership form.
* denotes required field.

Organization Information
Organization Name: *
# of Employees: *
Address: *
 
City: *
State: *
Zip: *
County:
Phone: *
FAX:
Web Site URL:
Membership Length:
Dues (prorated): $ (5 months remaining in cycle)
Industry/Product Description:
SIC Code:
NAICS Code:

Member Needs
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Other:
How did you hear about us?
 
Do you have other locations in Illinois? Where?
 

Method of Payment
 
 
For security purposes, please call The Management Association of Illinois at 800-448-4584 with your credit card information.

Main Contact
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Title: *
Email: *