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ReMA Membership Application
Please fill out the below information regarding your interest in ReMA Membership.
Formal Company Name
*
Doing Business As (DBA) Name
If your company does business as another name other than the one listed above, please list it here
Company Website
Salutation of Primary Contact
*
Capt.
Det.
Dr.
Hon.
Miss.
Mr.
Mrs.
Ms.
Rep.
Rev.
Sen.
Sgt.
First Name of Primary Contact
*
Last Name of Primary Contact
*
Primary Contact’s Job Title
*
Phone Number
*
Email
*
Does your company have locations in the US, Canada, or Mexico?
*
Yes
No
Country / Region
*
ABKHAZIA
AFGHANISTAN
AKROTIRI AND DHEKELIA
ÅLAND
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTIGUA
ARGENTINA
ARMENIA
ARUBA
ASCENSION
AUSTRALIA
AUSTRIA
AZERBAIJAN
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BAHRAIN
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FINLAND
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MALTA
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NETHERLANDS ANTILLES
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NIUE
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OMAN
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PERU
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POLAND
PORTUGAL
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QATAR
ROMANIA
RUSSIA
RWANDA
SAINT BARTHéLEMY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
Saint Vincent and the Grenadines
SAMOA
SAN MARINO
Sao Tome and Principe
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOMALILAND
SOUTH AFRICA
SOUTH KOREA
SOUTH OSSETIA
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TOGO
TOKELAU
TONGA
TRANSNISTRIA
TRINIDAD AND TOBAGO
TRISTAN DA CUNHA
TUNISIA
TURKEY
TURKMENISTAN
TURKS and CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
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UNITED KINGDOM
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UNITED STATES VIRGIN ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VATICAN
VENEZUELA
VIETNAM
WALLIS and FUTUNA
WESTERN SAHARA
YEMEN
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Postal / Zip Code
*
Check here if the address above is the same as the billing address
Country / Region
*
ABKHAZIA
AFGHANISTAN
AKROTIRI AND DHEKELIA
ÅLAND
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTIGUA
ARGENTINA
ARMENIA
ARUBA
ASCENSION
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BRAZIL
BRITISH VIRGIN ISLANDS
BRUNEI
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
COOK ISLANDS
COSTA RICA
Côte d'Ivoire
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH POLYNESIA
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUAM
GUATEMALA
GUI
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOSOVO
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA
MOLDOVA
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAGORNO-KARABAKH
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTH KOREA
NORTHERN CYPRUS
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PEOPLE'S REPUBLIC OF CONGO
PERU
PHILIPPINES
PITCAIRN ISLANDS
POLAND
PORTUGAL
PUERTO RICO
QATAR
ROMANIA
RUSSIA
RWANDA
SAINT BARTHéLEMY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
Saint Vincent and the Grenadines
SAMOA
SAN MARINO
Sao Tome and Principe
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOMALILAND
SOUTH AFRICA
SOUTH KOREA
SOUTH OSSETIA
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TOGO
TOKELAU
TONGA
TRANSNISTRIA
TRINIDAD AND TOBAGO
TRISTAN DA CUNHA
TUNISIA
TURKEY
TURKMENISTAN
TURKS and CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES VIRGIN ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VATICAN
VENEZUELA
VIETNAM
WALLIS and FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
Street Address
*
City
*
State / Province / Region
*
Alaska
Alabama
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Postal / Zip Code
*
What does your company do?
*
Affiliated Member
Consumer & Processor/Broker
Consumer Brands
Equipment/Service Provider
Other
Processor & Broker
Pure Broker/Trader
Pure Consumer
Pure Processor Packer
What are the main commodity(s) that your company handles?
*
Electronics  
Batteries  
Precious Metals  
Nonferrous  
Paper  
Textile  
Ferrous  
Plastics  
Tire/Rubber  
Other  
Is there anything else you'd like to share about your company to help us better understand your needs and how ReMA membership could meet them?
Preferred Follow-Up Communication Method: Please indicate your preference for how the ReMA membership team follows up with you.
Phone
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How did you hear about ReMA?
Call
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Non-ISRI event
Online Application
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