2021-2022 Membership Application

Company Information
(Include all employees. Do not include independent contractors or subcontractors.)
Company Mailing Address
Company Billing Address
Contact Information
(the individual who is your company’s primary human resource contact)
(the individual who makes company decisions about employee benefits)
(the individual who makes company decisions about employee training)
(the individual who makes company decisions about advertising and marketing opportunities)
How would you prefer to receive communications from the MBA?
Reporting & Billing

Payment of first year’s dues is required with your application. Prior to the anniversary date of your membership, which is the date of application approval, the company will be billed for dues for the ensuing year.

Membership Dues

PLEASE NOTE: Membership dues are considered to be annual fees and are not refunded during the course of the year.

PLEASE CHECK BOXES BEFORE SUBMITTING APPLICATION
PLEASE NOTE: Membership dues are considered to be annual fees and are not refunded during the course of the year.
Please make check payable to the Manufacturer & Business Association and mail to: 2171 West 38th Street, Erie, Pa. 16508. Visa, MasterCard, American Express and Discover also accepted.
Final Review
Digital Marketing