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Membership Form
Contact Information
Organization Name
*
Primary Contact Name
*
First Name
Last Name
Job Title
*
Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Billing Contact Name (if different from Primary Contact)
First Name
Last Name
Membership Info
*Solopreneur level is available to sole proprietor and consultants, with no employees.
Amount
*
$
10,000
-
Economic Partner
$
5,000
-
Community Leader
$
2,500
-
Executive
$
1,200
-
Partner
$
600
-
Contributor
$
300
-
Associate
$
150
-
*Solopreneur
Industry category
*
Accounting / Bookkeeping
Architects / Engineers
Attorneys / Legal / Related
Automotive / Related
Beauty
Child Care Services / Related
Construction / Related
Contracted Business Services
Education
Finance / Banking
Food / Beverage Services
Health / Wellness
Home / Personal Services
Insurance
Internet / Telecommunications
Lodging / Hospitality
Manufacturing
Marketing / Media
Nonprofit / Local Government
Pet Services
Photography
Printing
Real Estate / Related
Recreation / Entertainment
Retail / Wholesale
Software / IT
Staffing / Employment
Utilities
Weddings / Events
Website
Website hyperlinks are included in members' directory listing at Contributor ($600) Level and above.
Number of Full-Time Employees
Number of Part-Time Employees
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Logo
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