Office: 6770 East Marginal Way S • Ste B-113 • Seattle, WA 98108;               
                                                                              Phone: 206-762-2470 ;

MIC Membership Application

MEMBERSHIP DUES (per year)

1-10 employees                 $300

11-20 employees               $600

21-50 employees               $900

51-99 employees               $1,500

100+ employees                 Please call

General MIC\TMA Membership Benefits Include

Collective representation for community and individual business concerns. 

The MIC and TMA will lend their group support to deal with government agencies on behalf of your individual business, business group or business neighborhood.

Effective: 2013

    Company Name (required)

    Contact Name (required)

    Title

    Street Address

    City
    State
    ZIP

    MAILING ADDRESS

    Street

    City State ZIP

    Telephone

    Cell Phone Email:

    Please select categories that describe your business:

    Business Type

    Manufacturing\ConstructionWarehouse\WholesaleMarineTransportationService\Retail

    Year Company started

    Number of employees

    FT PT

    CHECK ANNUAL MEMBERSHIP DUES

    1-10 employees $30011-20 employees $60021-50 employees $90051-99 employees $1,500100+ employees (please call)

    MIC Area of Interest

    Core Plus/EducationEnvironmental CleanupFreight MobilityPolitical EngagementCommunity Engagement/Networking

    Digital Signature Date

    X