Micausa

We hereby make Application for Membership in the Meat Importers Council of America, Inc. and agree to support its purposes and objectives as set out in Article II of its By-Laws.

Date:
Company Name:
Address1:
Address2:
City:
State:
Country:
Zip:
Telephone:
Fax:
Email:

Company Officers
President:
Executive Vice President:
Operations Manager:
Other:
Primary Contact

Member Type:

Type of Business:	Trader (Importer)	Trader (Exporter)		Processor	Broker
	Packer	Regulatory	Transportation
	Other (If other, Please indicate)

Brief Description of Activities:


Other Affiliated Organizations (list subsidiaries, joint ventures, etc.):



Scope of Operations:	Domestic	International

Years in Business

Trade References
1.
2.
3.

Reasons for MICA Membership Application:



If you wish, you may simply printout this form and either fax or mail it to MICA.