Application Form AME Corporate Enterprise Membership Association for Manufacturing Excellence (AME) 3701 Algonquin Road, Suite 225, Rolling Meadows, IL 60008-3150 USA. An AME Corporate Enterprise Membership applies to numerous locations within North America. Five key contacts from each identified location in North America will become full members in AME. All employees, at all locations, are eligible to attend AME events, including conferences and workshops, at AME member rates. Record for each of your locations the associates you want to be members. Enterprise Wide Membership Dues: (U.S. funds) Annual $5,000 Two-year $9,500 Total number of locations: Three-year $12,750 (Fill in one form for every location) Payment Information: You can mail a check (U.S. Funds) payable to: Association for Manufacturing Excellence or pay by credit card. Send payment to: AME, 3701 Algonquin Road, Suite 225, Rolling Meadows, IL 60008-3150 USA. Check enclosed AMEX Discover VISA MasterCard Account number: Expiration: / (MM/YY) Confidential fax: (224) 232-5255 Signature (required): Contact Information for Location: Company: Address: State/Prov.: ZIP/Postal Code: First name: M. Initial: Email: Phone: First name: M. Initial: M. Initial: Second Employee Phone: First name: Third Employee Email: Fax: Last name: First name: Email: Phone: First name: M. Initial: Fax: Last name: Division/dept: Job title: Email: Phone: M. Initial: Fax: Last name: Division/dept: Job title: Job title: Fax: Last name: Division/dept: Email: If paying by credit card or check, please mail this form to Sue Bouraoui, AME Membership Coordinator, at AME. For credit card payments you can email the form to info@ame.org or print and fax it confidentially to 1-224-232-5255. Last name: Division/dept: Job title: Payment Options Country: Division/dept: Job title: Forth Employee First Employee Key Contact City: Security code Phone: Phone: (224) 232-5980 Confidential fax: (224) 232-5255 Email: info@ame.org Website: ame.org Fax:
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