Corporate Partner Application

To participate in the AMGA Corporate Partner Program, complete the application form below and click "Submit." You may also print out the application form and mail or fax it to:

One Prince Street
Alexandria, VA 22314-3318
Fax 703.548.1890

For additional information, or to schedule a call to explore partnership levels, please contact Colleen Stern, Director of Corporate Relations at 703.838.0033 ext 329 or Bill Baron, Vice President of Membership at or 703.838.0033 ext 336.

Level of participation desired: *

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Method of Payment: *

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Contact Information:

Primary Contact Person *
Title *
Phone/Fax *
E-mail Address *

Company Information:

Company Name *
Company Address *
City *
State *
Zip Code *

Links to your Website and Social Media:



Company Description of Your Product and Services
(Maximum characters: 2000)
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Please indicate (✔) the categories your company should be included in (select all that apply):



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AMGA | One Prince Street, Alexandria, VA 22314-3318
(703) 838-0033 phone (703) 548-1890 fax
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