Application

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Organization Information (to be displayed online)

Organization Name

Address 1

Address 2

City

State

Zip

Phone

Fax

Website

Main Contact

Copy from Organization-Information

First Name

Last Name

Address 1

Address 2

City

State

Zip

Title

Phone

Additional Information

Year Established

Membership Recruited By

Membership Investment

Membership Type

Individual memberships include retired individuals, teachers, clergymen, city, county or federal employees (including military), or residents of the area who are non-business or non-professional. Individual members are not eligible to chair committees nor serve on the Board of Directors.

Primary Directory Category

Number of Full Time Employees

Number of Part Time Employees (2 part time employees = 1 full time employee)

Total

*Membership investment is tax deductible as a business expense

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Application

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