MICA Members Registration - Meat Importers Council of America

Dashboard Username

Please enter your preferred username for your Members Dashboard on the MICA website.

Password

Enter Password Confirm Password

Company Name*

Address 1*

Address 2

City*

State

Zip*

Country*

Telephone*

Fax

Email

Enter Email Confirm Email

Company Website

Member Category*

After you submit this form, our team will get in touch with you via the email/phone you provided in this form, for the payment. After the membership fee payment is cleared, you will be able to access your Members Dashboard.

Company Officers

President*

Executive Vice President

Operations Manager

Other

Primary Contact

Type of Business*

Other (If other, Please indicate)

Number of Employees (Approximate)

Geographic service area in United States

Categories of meat supplied/handled

Select all options that pertain to your operations

(For importers) List regions/countries you are currently or plan to source from.

Licenses and registrations

Brief Description of Activities

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

Scope of Operations:*

Domestic
International

Years in Business*

Trade References

Reasons for MICA Membership Application: