Major Corporate Group Membership Application MEMBERSHIP TYPE Major Corporate Owner - $10,000 Annually - Corporations and organizations whose primary trade is not directly construction-related, but who have dedicated capital budgets for building and infrastructure projects as well as the ability to offer contracting opportunities to NAMC members. Major Corporate Partner - $5,000 Annually - Corporations and organizations engaged in the construction or development market and/or are capable of awarding subcontracting work. Gov’t Entity Or Nonprofit - $2,500 Annually - Government and public organizations that have dedicated capital budgets for building, maintenance, and repair projects, as well as the ability to offer contracting opportunities to NAMC members. GENERAL INFORMATIONCompany Name(Required) Company Website Contractor pre-qualification website, If applicableWould you like your company logo, which will appear on NAMC's website, linked to your company website? Yes No ADDRESSESPrimary Physical Address Street Address City State / Province / Region ZIP / Postal Code Billing Address (If different than above) Street Address City State / Province / Region ZIP / Postal Code COMPANY REPRESENTATIVE CONTACT INFORMATION Primary Company Contact(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Middle Last Suffix Company Title(Required) Primary Number(Required)Mobile NumberEmail(Required) Secondary Company Contact(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Middle Last Suffix Company Title(Required) Primary Phone Number(Required)Mobile NumberEmail(Required) ADDITIONAL OFFICE LOCATIONS (Optional) City & State OnlyCOMPANY DEMOGRAPHICSYear Company Established Number Of Employees Annual Contracting Volume < $1 MILLION $1 - $5 MILLION $6 - $10 MILLION $11 - $20 MILLION $21 - $30 MILLION > $30 MILLION AUTHORIZED SIGNATURE I hereby submit an 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, or phone. NAMC does not sell member contact information to third parties.Printed Name Date MM slash DD slash YYYY SignatureNameThis field is for validation purposes and should be left unchanged.