Formal Company Name *

Doing Business As (DBA) Name
If your company does business as another name other than the one listed above, please list it here

Company Website

Salutation of Primary Contact *

First Name of Primary Contact *

Last Name of Primary Contact *

Primary Contact’s Job Title *

Phone Number *

Business Email Address*

Does your company have locations in the US, Canada, or Mexico? * Yes
No

Country / Region *

Street Address *

City *

State / Province / Region *

Postal / Zip Code *

Country / Region *

Street Address *

City *

State / Province / Region *

Postal / Zip Code *

Electronics Division
Ferrous Division
Non Ferrous Division
Paper Division
Plastics Division
Tire Divison

Why are you joining ReMA?

How did you hear about ReMA?* Call
Chapter Referral
Email
Marketing Campaign
Member Referral
Non-ReMA Event
Online Application
Other
ReMA Convention
ReMA Physical Event
ReMA Product Purchase
ReMA Virtual Event
Social Media
Staff referral

ReMA Membership Application

Please fill out the below information regarding your interest in ReMA Membership.

If your company is a nonprofit organization, government entity, higher education institution, or association, you are not eligible for ReMA membership. If you are unsure about your eligibility, please contact the ReMA Membership Team at membership@recycledmaterials.org.