Authorizing Applicant Information |
First Name: (required) |
|
Last Name: (required) |
|
Title: (required) |
|
E-Mail Address: (required) |
|
Date: (required) |
|
Company Information |
Company Name: (required) |
|
Address Line 1: (required) |
|
Address Line 2: (required) |
|
City: (required) |
|
State: (required) |
|
Zip+4: |
|
Main Telephone: (required) |
|
Primary Fax Number: (required) |
|
Web Address: (required) |
|
Number of Employees: (required) |
|
Year Founded: (required) |
|
NAICS Code: (required) |
|
20 Word Description of your Business: (required) |
|
Detailed Description of your Business: |
|
Membership Investment |
The MACNY Membership Dues formula is based on the FICA/Social Security payment for the most recent year. Please select the FICA amount closest to your last annual employer contribution to determine your dues. (required) |
|
NOTES - Non-Industrial company dues are discounted 10% off the rates shown above
A Distance Discount is available for new membership. Companies located 30 to 100 miles from MACNY receive a 25% discount. Companies located more that 100 miles from MACNY receive a 50% discount.
Minimum Dues are $645 in every case
For federal income tax purposes, dues and contributions to MACNY are deductible as business expenses and not as charitable contributions. A portion of dues (7%) is utilized for activities deemed "lobbying" under Federal tax rules. This portion of your investment is not deductible |
Organization Contacts |
CEO or Top Official (required) |
|
Top Official Title |
|
Direct Phone: (required) |
|
Direct Fax: |
|
E-mail Address |
|
Person to Receive Invoices (required) |
|
Direct Phone: (required) |
|
Direct Fax: |
|
E-mail Address (required) |
|
Top Human Resources Director/Manager (required) |
|
Direct Phone: (required) |
|
Direct Fax: (required) |
|
E-mail Address (required) |
|
Chief Financial Officer (required) |
|
Direct Phone: (required) |
|
Direct Fax: (required) |
|
E-mail Address (required) |
|
Person most involved in dealing with the government (required) |
|
Direct Phone: (required) |
|
Direct Fax: (required) |
|
E-mail Address (required) |
|
Additional Contact: |
|
Direct Phone: |
|
E-mail Address |
|
Additional Contact: |
|
Direct Phone: |
|
E-mail Address |
|
BIPAC |
MACNY is your representative before state government. The Business and Industry Political Action Committee (BIPAC) allows you and your peers to provide financial support for those who foster positions that help our economy. If the responsibility for securing adequate resources for BIPAC is share among the members of MACNY, we will be able to bolster our representation efforts. A voluntary contribution of $100 is request of all members. |
Would you like to make a suggested contribution to BIPAC of $100? (required) |
|