Member Registration Form | National Association of Minority Contractors

To join NAMC Georgia Chapter, fill out the membership enrollment form below. To pay via check, money order or cashiers’ check remit and mail to:

NAMC Atlanta Chapter
6161 Red Maple Rd.
Atlanta, GA 30349

Membership Categories
Local Corporate Partner : $2,500.00 USD – yearly
Government Agency : $600.00 USD – yearly
Active Member* (Large) – Gross Sales >$7M : $1,800.00 USD – yearly
Active Member* (Medium) – Gross Sales $1M – $7M : $1,200.00 USD – yearly
Active Member* (Small) – Gross Sales <$1M : $800.00 USD – yearly
Internship (Enrolled Student) Chapter : $100.00 USD – yearly

Your Active Member* (Small) membership expires on January 17th, 2023.

Membership Form

Product Name

Company/Agency Name

Tradename (if any):

Name

First Last

Email

Home Phone

Office Phone

Mobile Phone

Preferred Phone

Home Phone

Office Phone

Mobile Phone

Fax

Buiness Address

Street Address Address Line 2 City State ZIP Code

Website

School Name (Student Chapter)

Field of Study

(if construction, specify which CSI MasterFormat Division)

Description of Business

List NAICS Code(s)

List Any Current Set-Aside Certifications

Number of Years in Business:

City of Atlanta EBO Program certified?

Yes

No

List Trade License(s) (if any)

Bond Capacity

None

Single Job

Aggregate

Total