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Thank you for your interest! Please complete the following member information.
Mid Name
Company Name
Phone
Industry or Business Type
Brief description of your business or service
Full-Time Employees
Part-Time Employees
Mailing Address (Street, City, State, Zip)
Physical Address (Street, City, State, Zip)
Website
Facebook, Instagram and Any Other Social Media
Primary Contact Info (Full Name, Phone, Email)
Membership Options
Small Business (1 - 5 employees including owner): $100
Small-Med Business (6-15 employees, including owner): $150.00
Medium Business (16-30 employees, including owner): $250.00
Medium-Large Business (31-50 employees, including owner): $450.00
Large Business (51+ employees, including owner): $600.00
Individual (Personal membership, not a business entity): $25.00
Small Non-Profit (Volunteers and up to 5 employees): $100.00
Non-Profit/Government Agency (Non-profits over 5 employees and Government Agencies): $300.00
Payment Option
Bill Me
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