To apply for membership to the Mid-Atlantic Steel Fabricators Association, please fill out the form below and complete your payment. Once you have filled out the form, you will receive a confirmation email with your registration information.

Affiliate Company Membership

(Annual Dues $480 - All Other Affiliated Companies)

Company Name:*

Physical Address:*

Mailing Address:

Company Phone:*

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Company Fax:

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Website:

Primary Contact Name for MASFA:*

Name and Email of Employees You Wish to Receive Assoc. Communications:

Primary Contact Title:*

Primary Contact's Email:*

Does your company fabricate structural steel or miscellaneous metals at a permanent location in Delaware, New Jersey or Pennsylvania?

Yes

How many full-time employees does your company employ?

How many part-time employees does your company employ?

How many years has your company been in business?

Percentage of your dollar volume is Structural

Percentage of your dollar volume is Miscellaneous

Is your company an AISC Member?

Yes

Is your company an AISC certified?

Yes

How did you hear about us?

First Name:

Last Name:

Credit Card Number:

CVV Number:

Card Type:

Expiration:

Address:
City:	County:	Post Code:
Country:

Please enter the security code:

Security Code:

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