Membership Application

Business Information

Company Name:

Directory Category:

Phone:

Website:

Number of full-time employees:

Number of part-time employees:

How did you hear about us?:

Year Company Started?:

Physical Address

Address:

City:

ZIP:

Mailing Address

Same as physical address

Address:

City:

ZIP:

Primary Contact Information

First Name:

Last Name:

Title:

Phone:

Fax:

Email:

Contact Preference(s):PhoneEmail

Address

Same as member address

Address:

City:

ZIP:

Membership Options

2023 Annual Membership Package (Rates for new members only are prorated each month after January, below shows October 2023 rates). All memberships renew in January. Please note that if you were a prior member at any time in the past 2 calendar years that renewals cannot be done on a prorated basis:Individual: $33; Sole proprietor, no employees0 - 5 Employees: $476 - 10 Employees: $7011 - 20 Employees: $8021 - 50 Employees: $11051 - 100 Employees: $128101 - 200 Employees: $159200+ Employees: $207Trade Association: $97Retiree or non-business individual: $18Not-for-profit, government agency, municipality, or educational institution; see below

50% of appropriate membership package listed above:

Please indicate below if we may share your business information with the general public:Yes, you may release this informationNo, please do not release this information

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