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 *

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 *

Street Address *

City *

State / Province / Region *

Postal / Zip Code *

Country / Region *

Street Address *

City *

State / Province / Region *

Postal / Zip Code *

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
E-Mail

How did you hear about ReMA? Call
Chapter Referral
Email
ISRI convention
ISRI physical event
ISRI product purchase
ISRI virtual event
Marketing Campaign
Member Referral
Non-ISRI event
Online Application
Social Media
Staff referral

ReMA Membership Application

Please fill out the below information regarding your interest in ReMA Membership.

Resources

Recycled Materials

ReMA Websites