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	MEMBERSHIP INVESTMENT

	Company
	Contact
	Title

	Address
	City		Zip
	Phone		Cell
	Fax
	Email
	Website

	Business Anniversary
	Business Description as you would like people to read about you.

	Hours of Operation

	Sunday		Thursday
	Monday		Friday
	Tuesday		Saturday
	Wednesday		Other

	Membership Category

		Business	Retail	How many employees?
		Professional	Bank Utility Railroad		Financial Institution Telephone
		Professional # in office	Accountant Attorney Chiropractor		Dentist Optometrist Physician
		Service	Senior Individual Church		Not-for-Profit Civic Organization

	Calendar of Events What events/sales do you have planned for 2010?
	January
	February
	March
	April
	May
	June
	July
	August
	September
	October
	November
	December

THANK YOU!

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Last modified: 07/18/10