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Please carefully fill in the following information before you submit your application for membership. Required fields are shown in red. Name: Company: Title: Street Address: City: State: Zip Code: Daytime Phone: () FAX: () E-Mail: Website Address: Contact Person: What type of business are you in? Manufacturing Transportation Distribution Warehousing Wholesale Other Annual Membership Dues: $250 We will contact you within two business days to verify your application and obtain payment information. In addition, we ask that you fill in the following information, which is required for membership in the MDC. Senior Officers: Year Established No. of Employees Facility Description: Service Area/Geographical Location Company Specialty: Company Mission Statement: Write in 50-100 words (history, services provided, accomplishments, awards, etc.) description of company below: General Description of Company: Additional Comments: Back Home © Copyright 2001-2008 by The Maryland Distribution Council.
We will contact you within two business days to verify your application and obtain payment information. In addition, we ask that you fill in the following information, which is required for membership in the MDC.
© Copyright 2001-2008 by The Maryland Distribution Council.
