Member Application

Company Name: (*required)

Address Line 1: (*required)

Address Line 2

City: (*required)

State/Province

Country: (*required)

Postal Code: (*required)

Company Website: (*required)

Please provide a web link to your company's public disclosure on responsible mineral sourcing. These may be contained in your company's annual sustainability report, supplier responsibility supplier responsibility report, supply chain policy, regulatory filing, etc. (*required)

Industry: (*required)

If Other, please provide your company's Industry type

Participation Type: (*required)

If applicable, select Partner Association

Description of primary business: (*required)

Please describe the primary reason(s) your company would like to be a member of the RMI (*required)

First Name: (*required)

Last Name: (*required)

Email: (*required)

Phone Number: (*required)

Title

Member Application

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