Membership Form

If you are not in West Michigan but are in the Great Lakes region and would like information about a similar Consortium, please contact Abby Corso: acorso@delta-institute.org, 312-554-0900 ext. 25.

If you are a procurement professional, environmental manager, or otherwise involved with your organization's purchasing activities, please complete the form below. Within two business days of submitting this Membership Form, a password granting you access to the Members Only website will be sent to the email address you indicate below. Delta Institute, a non-profit organization that administers the West Michigan Sustainable Purchasing Consortium, will contact you to review membership benefits.

* denotes required field

Account Info
Username:*
Password:*
Primary Contact Info
(Primary contact person to receive all communications from WMSPC, including announcement and renewal notices)
Title:*
First Name:*
Last Name:*
Job Title:*
Company Name:*
Address 1:*
Address 2:
City:*
State:*
Zip:*    Format: xxxxx-xxxx or xxxxx or xxxxxxxxx
Phone #:*    Format: xxx-xxx-xxxx or xxxxxxxxxx
Extension #:*
Fax #:*    Format: xxx-xxx-xxxx or xxxxxxxxxx
Email:*
Other Contact Name:
Other Contact Email:
Company's Web Address: http://
Company Details
Company Size:
(How many employees in Michigan?)		 1-25
26-300
301-999
1000+ employees
Gross Sales:
(if applicable)		 $1 - $500,000
$500,001 - $2,000,000
$2,000,001 and over
Primary industry of your organization Professional Business Services
Consumer Goods and Retail Trade
Sports, Entertainment, Arts
Food & Beverage Products
Travel & Hospitality
Government, Public Service/Union
Association/Society/Nonprofit
Education
Building Construction Home Repair
Industrial/Heavy Machinery & Finished Business Inputs/Outputs
Communications and Information Technology
Medical & Healthcare
Raw Materials & Science
Transportation
Meetings & Events
Services of Interest:
(check all that apply)		 Training
Product i.d.
Networking
Assessing your organization's eco-footprint
Other:
How did you hear about WMSPC?:
(check all that apply)		 Local First
WMSPC website
Community Sustainability Partnership
Chamber of Commerce(Please specify:)
West Michigan Sustainable Alliance
Purchasing Event:
Sustainable business forum:
Other
Other Memberships:
(check all that apply)		 Local First
Chamber of Commerce
West Michigan Sustainable Alliance
CSP
Other(Please Specify)
May WMSPC identify you as a member on its website?
Yes No
In the future, may vendors for the Consortium contact you to set up an account?
Yes, allow preferred vendors to contact me about Consortium products and pricing. No thanks. I prefer to initiate contact with the vendor myself.
Check this box if you would like to be automatically registered for a quimby.com account once your Consortium membership has been approved. By checking this box, you agree to allow WMSPC to share the content of this Membership Form with quimby.com so that you can purchase recycled content paper online from Quimby-Walstrom at the Consortium's discounted prices.

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