Membership Application

Company Name
Contact Name*
Title*
Address*
Address 2 (optional)
City*
State*
Zip*
Phone*
Fax
Email*
Website
Number of Employees
Brief Description of Company*
Special Instructions (procedure for submitting invoices for payment, etc.
Membership Level*
Propsperity Partner: Manufacturers, utility and energy companies - $1,500 and up
Growth Partner: Large employers, construction companies and banks - $1,000-$1,499
Development Partner: Service Industry, legal and medical offices - $500-$999
Investment Partner: Realtors, retail and restaurants - $250-$499
Sustaining Partner: Small businesses - $100-$249
Individual: Supporting Individuals - $55-$99

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