Business Partner Online Sign-up Form -- Meets the requirements for Business Partner Membership and contributes $1,500 per year. Please note that in 2019 Business Partners will pay a pro-rated amount.
This contribution supports all monthly programs for our members, as well as the Annual Educational Seminar and Employee Recognition dinner. Business Partners are invited to all of the above events at no additional fee.
Business Partner
*
$1,500 January
$1,375 February
$1,250 March
$1,125 April
$1,000 May
$875 June
$750 July
$625 August
$500 September
$375 October
$250 November
$125 December
Business name
*
Company website address
*
Primary Contact
First name
*
Last name
*
Title
*
Mailing address
*
Home
Work
Street or PO Box
*
Suite / Floor / Room #
City
*
State
*
Zip code
*
Email address
*
Additional email address
Security Code
*