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Home » Allied Associations » EAG » General Information

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PLEASE PROVIDE THE INFORMATION BELOW:
Fields marked with asterisk (*) are required

We would like to submit our application for membership in the NAM's Employer Association Group.

Our annual budget in the last fiscal year was - (Check one)

Annual Budget*	Annual Membership Fee
$300,000 or less	$600
$300,000 to $750,000	$1,000
$750,000 to $1.25 million	$1,400
$1.25 million to $2.5 million	$1,800
$2.5 million and Above	$2,200

*^Association Name:**
Acronym:
*^Address:**
*^City:**
*^State:**
*^Zip Code:**
*^Telephone:**
*^FAX#:**
*Email:
Website Address/URL:
*^CEO Name:**
*^CEO Title:**
Number of Years as CEO:
Number of Members:
Estimated number of employees represented:
Number of Association Staff (FTE):
- other key staff members -
Government Affairs: Name/Title
Surveys: Name/Title
Training: Name/Title
Consulting: Name/Title
Workforce: Name/Title