JOIN THE LAWRENCE MERCER MANUFACTURERS COALITION

Become a member to drive change and solutions for workforce development

Membership Application

Name(Required)

First Last

Date

Job Title(Required)

Business Name(Required)

Fiscal Manager Name (for invoicing)(Required)

Fiscal Manager Email(Required)

Enter Email Confirm Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Type of Work Performed

Years in Business

Number of Employees(Required)

Annual Sales

NAICS Code(Required)

Alternate Representative

Name

First Last

Name

First Last

$500 - Manufacturer (<25 Employees)

$750 - Manufacturer (26-100 Employees)

$1,000 - Manufacturer (<101-250 Employees)

$2,000 - Manufacturer (>250 Employees)

$1,000 - Associate (Businesses that provide services to manufacturers)

$500 - Education (K-12, post-secondary, private training organizations)

$500 - Community or Economic/Workforce Development Organizations