Membership Application
Applications will be considered upon receipt of the initiation fee.
All fields must be completed for your application to be considered.
Date: / Referred by (name/company):MEMBERSHIP CATEGORIES (Indicate the category that describes you/your organization)
Manufacturer Member: Companies whose primary business is manufacturing or adding direct, tangible value to the product (heat treaters, coaters, etc.)
Affiliate Member: Non-manufacturing companies whose business model is to serve exclusively manufacturers
Associate Member: Non-manufacturing companies whose business model is to serve multiple industries
Non-Profit Organization (Associate Member): Entities which are designated as non-profit by the IRS, including non-profit education institutions.
Senior Member: Retired individuals who have been employed by a DRMA member company during his or her career. (Please list member employers: ______)
COMPANY/ORGANIZATION INFORMATION
Company Name: / No. of Employees:Local Street Address:
City/State/Zip: / County:
P.O. Box: / City/State/Zip:
Main Telephone: / Main Fax: /
Website:
Describe your primary business (your primary capabilities, services, etc.):
Company/organization promotional statement (for DRMA website):
Company Capabilities (check all that apply)
Manufacturer Members
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Assembler
Brazing
Casting/foundry
Coating
Dies
EDM
Grinding
Heat treating
Laser cutting
Manufacturer
Metal fabrication/welding
Molds
OEM
Plating
Precision machining
Special machine building
Tooling (jigs, fixtures, gages)
Other
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Affiliate and Associate Members
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Accounting
Banking
Business consulting/services
Construction
Crane/rigging
Education/training
Employee benefits
Engineering services
Equipment distributor
Financial services/planning
Industrial supplies/services
Information technology
Insurance
Integrator
Legal services
Manufacturers’ rep
Media
Metal/raw material distributor
Personnel placement
Quality services
Safety products/services
Sales/marketing
Software developer/sales
Other
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Industries Served: (Manufacturer Members only) (check all that apply)
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Aerospace
Appliances
Automotive/Transportation
Defense
Energy
Medical
Other
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CONTACT INFORMATION
Primary contact
Name:Title:
Phone:Email:
Secondary contact
Name: Title:
Phone:Email:
Top local company official
Name: Title:
Phone:Email:
Person to whom invoices should be sent
Name: Title:
Phone: Email:
MEMBERSHIP FEES
Initiation Fee(one-time fee; to be submitted with application)
ManufacturerMembers:$100
Affiliate Members:$200
Associate Members:$300 (includes non-profit organizations)
Senior Members:$25
Payment Method:
Check (payable to DRMA)
Credit Card #:CVV: / Billing Zip: / Exp. Date:
Annual Dues: Dues will be invoicedupon application approval on a calendar year pro-rated basis. The next year’s dues are invoiced each December.
Dues (do not send with application)Manufacturer / Affiliate / Associate / Non-Profit / Senior
# Employees* / $625 / $100
1-19** / $450** / $525** / $625
20-49 / $575 / $650 / $750
50-99 / $750 / $825 / $925
100-349 / $925 / $1000 / $1100
350-799 / $1225 / $1300 / $1400
800+ / $1550 / $1625 / $1725
*To calculate your number of employees: Count all employees in all your facilities located within a 75-mile radius of Dayton. (If your company is located outside the 75-mile radius: count all employees in your facilities from which your company benefits by being a member.)
**1-5 employees: Companies qualifying as a Manufacturer or Affiliate membership and who have 5 or fewer employees are provided a $150 discount on dues for two calendar years. After the second calendar year, the standard dues rate applies.
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