The Great Lakes Maritime Task Force

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Company/ Organization:

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Address2:

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GLMTF Representative Name:

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Please check one:

Marine Construction Companies

Marine Service Providers

Port Authorities

Shipboard Labor

Shippers

Shipyards

Shoreside Labor

Terminal Operators

Vessel Operators

Other*

* GLMTF does not officially have an "Other" MIG. However, if at least three members who do not fall into any of the above membership groups wish to form a new MIG, they may request formation of a new MIG, which then must be approved by the entire membership.

Please provide a description of your company's or organization's involvement with Great Lakes Shipping:

Company/ Organization:
I, on behalf of the above-listed organization, have reviewed Great Lakes Maritime Task Force’s Policy Statement and Position Papers and declare to be in total agreement with same. I further agree to payment of annual dues of $500.

Name: Date: