Major Corporate Group Membership Application

MEMBERSHIP TYPE

Title

GENERAL INFORMATION

CONTRACTOR PRE-QUALIFICATION WEBSITE (If applicable)
Would You Like Your Company Logo, Which Will Appear On Namc’s Website, Linked To Your Company Website?

ADDRESSES

Primary Physical Address
Billing Address (If different than above)

COMPANY REPRESENTATIVE CONTACT INFORMATION

Contact Name
Contact Name

ADDITIONAL OFFICE LOCATIONS (Optional - Use additional sheet if desired)

Office 1
Office 2

COMPANY DEMOGRAPHICS

Annual Contracting Volume

AUTHORIZED SIGNATURE

I hereby make application for membership in the National Association of Minority Contractors (NAMC) and agree to its mission, vision, purpose, and values. I certify that all information provided is correct to the best of my knowledge. I also understand that by providing contact information, I consent to receive communications sent by or on behalf of NAMC and/or its affiliates via mail, email, phone, or fax.
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.