MFG Champions Registration Form

First Name *

Last Name *

Email Address *

Phone Number

ZIP Code *

Select the option that best describes your relationship to the manufacturing industry: *

Enter required value I currently work in the manufacturing industry. I used to work in the manufacturing industry. I am currently training to work in the manufacturing industry. I have friends/family who work in manufacturing. I don't work in manufacturing but want to help strengthen manufacturing competitiveness in Virginia.

If you work/have worked in manufacturing, please list your current/former employer:

Which policy issue(s) related to manufacturing are you most concerned about?

Shortage of skilled labor

Restrictive and ineffective energy policies and regulations

Poor supply chain management

Unnecessary environmental regulations

Harmful and unfair tax policies

Other

How did you hear about the MFG Champions program?

VMA Email LinkedIn Other Social Media Search Engine Member Referral Other

How did you hear about the MFG Champions program?

VMA Email Social Media Search Engine VMA Member Referral Other