| Member
Enrollment Application |
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| Investment
Schedule |
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Industrial (automotive,
contruction, manufacturing, medical services facilities, processors,
restaurants, transportation, and wholesale distributors)
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1 - 10 employees: $148.00
11 - 50 employees: $213.00
51 - 100 employees: $415.00
101 - 350 employees: $650.00
351+ employees: $1083.00
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Professional/Management
Specialists (pysicians, surgeons, dentists, attorneys,
accountants, insurance/real estate brokers, and other professionals)
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1 - 3 professionals: $181.00
4 and above: $295.00
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Retail and Non Professional
Services
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1 - 5 employees: $134.00
6 - 10 employees: $187.00
11 - 25 employees: $255.00
26 - 50 employees: $328.00
50+ employees: $409.00
Apartments: $181.00
Motels: $214.00
Bed & Breakfast: $148.00
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Financial Institutions
- $270.00, minimum or $6.56 per million in deposits, whichever is greater at
the close of the previous year.
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Clubs & Organizations
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Charitable, tax exempt under tax
code C-3: $46.00
Other: $148.00
Individuals: $51.00
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| Member
Enrollment Application |
| Date
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Type of Business
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| Contact Person First Name
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Contact Person Last Name
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Contact Person Title |
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Business Name |
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| Mailing Address
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Business Address (if different)
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| City
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| State
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Zip
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| Phone
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Fax
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| Email
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Website URL
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| Check Category (see investment schedule above before selecting category) |
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| Individuals
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| Government
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Utilities
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| Membership Investment
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| Please Note:
2 part-time employees = 1, investments are paid in advance and automatically
renews annually.
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| List any comments
and/or question(s) below:
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| Authentication Code |
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type in the code above in the box below.
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