AMCF Member Application

Date:

We will join as Members in the Association of Management Consulting Firms at the:

Name of Firm:

Name of Partner or Officer submitting application:

Title:

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number:

Area CodePhone Number

Fax Number:

Area CodePhone Number

E-mail:

Web Address:

Corporate Headquarters Address (IF DIFFERENT THAN ADDRESS ABOVE):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Year in which firm was organized:

Number of full-time, permanent consultants on your staff:

Total Number of Employees in your firm's consulting operation:

List annual gross revenues for consulting services by year for the last three years (in U.S. Dollars)

Please attach any copies of your firm's brochures or similar material describing your services and copies of sample promotional letters or other material used in new business development.

Attach file(s) here:

Upload a File

On additional sheets, please prepare a representative client list (a minimum of 5) served during the last three years. Indicate the type of service performed, when performed, and give the name and address of the client executive with whom you worked on the assignment. (A minimum of 2 is required for Start-Up Category)

Attach file(s) here:

Upload a File

Has your firm previously been in business under any other name(s)?

(if Yes above, please give particulars on an additional sheet of paper)

Attach file(s) here:

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If your firm is owned by individuals, or companies other than the firm's consulting staff, please list the major owner or owners of the firm:

Has your firm or any subsidiary (operating under its present or any prior name) ever been the subject of a voluntary or involuntary petition for bankruptcy, assignment for the benefit of creditors or similar proceeding?

(if Yes above, please attach a description of the proceeding and the final adjudication, name and address of the court or other tribunal and relevant dates)

Attach file(s) here:

Upload a File

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Application and On-Boarding Fee$350.00

Individual Firm Member Application Fee$60.00

Payment Method
Credit	Express

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Name

First NameLast Name

AMCF Member Application

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