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Membership Application
Please fill in your details.
First name
*
Last name
*
Business Name
*
Business Email
*
Work or Personal Phone Number
*
Business Address
*
Please describe your business. What products and or services do you provide? Who is your target audience? What area(s) do you service? Do you have a brick and mortar location(s)?Please add anything that a potential customer would need to know.
*
Enter your business website address
Membership Tier
General - $75/year
Sponsorship - $200/year
Community Partner - $500/year
Please add your logo if we do not have one or if you have a updated version.
Select a File
If you need to upload a Document File
Select a File
Submit
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