Volunteer with PMA

	Yes,we're interested in joining PMA's Standing Committees!

	Company Name
	Company Contact
	Address
	City
	State
	Zip/Postal Code
	Phone
	Fax
	E-mail
	Highlight your choice of committees & divisions below

Instructions: Company participation in multiple committees is encouraged, but only ONE company representative per committee is permitted. Please list below representatives from your company that are interested in serving on PMA's Standing Committees.

Name
Title

(Highlight your choices--hold the shift key when clicking to choose more than one)

Name
Title

(Highlight your choices--hold the shift key when clicking to choose more than one)

Name
Title

(Highlight your choices--hold the shift key when clicking to choose more than one)

Name
Title

(Highlight your choices--hold the shift key when clicking to choose more than one)