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Use This Form To Refer a Member
Please Refer Fellow Manufacturers!

Dear NAM Member:

To increase the strength and effectiveness of the NAM and provide resources to other manufacturers, we would like to request that you refer other manufacturers to us. Please provide the following information below. Or complete the information, print and fax it to Jim Sonick at (202) 637-3182. Thank you for your time!

*Fields marked with a red asterisk are required.

*Name:
*Title:
*Organization:
*Address:
*City:
*State:
*Zip:
*Phone:
Fax:
*E-mail:
What does this company manufacture?