Institute for Supply Management - NE Wisconsin Inc

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Member Application

Please refer to a list of North American Industry Classification Codes (NAICS) here

Please select the appropriate choice:

New Member
Past Member
I am replacing a current member in my organization

If past member: Member ID if known

If replacing a current member: Member Name

If replacing a current member: Member ID

Certification

CPSM
CPM
APP
Other

Please list any other certifications

* Prefix

* First Name

Middle Initial

* Last Name

* Preferred Address

Home
Business

* Address

* City

* State

* Zip Code

Phone Number

Date of Birth MM/YYYY

* Industry Code (Choose a 3-digit code from the list provided on page 2)

Education check the highest level completed

High School
Associate's
Bachelor's
Master's

ISM members receive Inside Supply Management ® magazine as a $24 portion of the membership fee. This fee is non-deductible from membership dues. I agree to abide by the ISM Bylaws, Principles and Standards of Ethical Supply Management Conduct, and Statement of Antitrust Policy, as stated on the back of this application. A copy of the ISM Bylaws may be obtained by writing or calling ISM Customer Service.

* Signature I hereby agree to the following statement, and acknowledge that this serves as my electronic signature.

I Agree

Email Address

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