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Annual Awards Banquet
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Admin- Add Member
Step 1 Main Details
Member Business Name
*
Type of Business
*
Accounting Services
Aerospace
Agriculture & Food Manufacturing
Arts & Culture
Business Services
Clean Technology
Community Service/Non-profit
Construction/Real Estate
Construction
Education
Entertainment
Financial Services
Forestry
Healthcare
Hotel/Hospitality
Information Technology
Legal Services
Life Science
Manufacturing
Maritime
Media/PR
Personal Services
Real Estate
Restaurants
Retail & Consumer goods
Tourism
Transportation
Utilities
Wholesaling
Other
Main Contact First Name
*
Main Contact Last Name
*
Title
Share Address Publicly
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Physical Street Address
*
City
*
State
*
AK
AL
AR
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CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
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MD
ME
MI
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MS
MT
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SD
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Zip Code
*
Phone
*
Email
*
Website/URL
What date was your business founded?
No. of Employees
Company Logo
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Business Summary (visible to the public)
Step 2 Additional Contacts (optional)
Contact Name
Email
Phone
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Step 3 Social Media Links (optional)
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Twitter
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Other Social Media Links
Step 4 Membership Details
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Membership Dues
*
Sole proprietor $75.00
1-5 Employees $175.00
6-25 Employees $225.00
26-100 Employees $275.00
101-200 Employees $325.00
201-500 Employees $375.00
Over 500 Employees $475.00
Payment
*
Credit Card
Check
Billing Street Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
Payment
Additional Details
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