2026 SRMA Manufacturer Membership Registration Form

SRMA Manufacturer Annual Membership

Welcome to Our Manufacturing Association! As part of our commitment to supporting your growth and success, we kindly ask you to fill out this brief registration form questionnaire.
Company Name
Years In Business
Address:

Street Address

Street Address Line 2

CityState

Zip Code
County of Manufacturing Facility

Other
Primary Member's Name

First NameLast Name
Primary Member's Title/Role
Primary Member's E-mail Address
Phone Number
Number of Employees
Annual Revenue
Manufacturing Industry Sector
NAICS code:
Preferably a manufacturing NAICS code
DUNS Number:
Do you participate in the DoD Supply Chain?
Referred By:
Company Logo Upload

Browse Files
Members will have a hotlink to their website. Upload your logo here. Accepted file types: jpg, gif, png, pdf, ai, psd, Max. file size: 100 MB, Max. files: 2. Cancelof
Company Website
Please enter the website where you would like the hotlink from your logo to send the user.
CEO/President's Name

First NameLast Name
CEO/President's Email Address
example@example.com
CFO/Accountant's Name

First NameLast Name
CFO/Accountant's Email Address
example@example.com
Operations/ Production Mgr's Name

First NameLast Name
Operations/ Production Mgr's Email Address
example@example.com
HR Directors's Name

First NameLast Name
HR Director's Email Address
example@example.com
Sales/Marketing Director's Name

First NameLast Name
Sales/Marketing Director's Email Address
example@example.com
What are your main products/services?
Is there anything else you want to get out of your SRMA membership?
Which services offered by SRMA and the FloridaMakes Network are you most interested in? (Select all that apply)

Other
Are you willing to serve on an SRMA Committee?
How are you paying?
Annual Membership Dues

Info on each membership level can be found here:
Should be Empty:

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SRMA Manufacturer Annual Membership

Pay by Credit Card Here: