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Company Information
Company:
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Address Line 1:
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Address Line 2:
City:
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State:
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Zip:
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Phone 1:
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Phone 2:
Fax:
E-mail:
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Website:
Bus. Category 1:
Full-time Employees:
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Part-time Employees:
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Contacts
Primary Contact
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First Name:
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Last Name:
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Suffix:
Familiar Name:
Title:
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Billing Contact
 
Annual Membership Investments
# Employees
Annual Dues
1-10
150.00
11-35
150.00 + $10/employee over 10
36+
400.00 + $5/employee over 35
$150.00
$150.00 + $3.00 per unit
150.00
50.00
250.00
# Employees
Annual Dues
1-10
500.00
11-60
500.00 + $10/employee over 10
61+
1,000.00 + $5/employee over 60
$500.00
# Employees
Annual Dues
1-10
150.00
11-60
150.00 + $10/employee over 10
61+
650.00 + $5/employee over 60
$150.00
$1,000.00 + $50.00 per million in deposits (max $2,500)
1,000.00
100.00
# Employees
Annual Dues
1-10
150.00
11-60
150.00 + $10/employee over 10
61+
650.00 + $5/employee over 60
$150.00
1,000.00
100.00
# Employees
Annual Dues
1-10
250.00
11-110
250.00 + $10/employee over 10
111+
1,250.00 + $5/employee over 110
$250.00
# Employees
Annual Dues
1-10
150.00
11-110
150.00 + $10/employee over 10
111+
1,150.00 + $5/employee over 110
$150.00
# Employees
Annual Dues
1-10
150.00
11-35
150.00 + $10/employee over 10
36-55
400.00 + $5/employee over 35
56+
500.00
$150.00
500.00
$150.00 + $2.00 per unit or room
150.00
300.00
# Employees
Annual Dues
1-10
150.00
11-35
150.00 + $10/employee over 10
36+
400.00 + $5/employee over 35
$150.00
# Employees
Annual Dues
1-10
200.00
11-35
200.00 + $10/employee over 10
36+
450.00 + $5/employee over 35
$200.00
# Employees
Annual Dues
1-10
150.00
11-35
150.00 + $10/employee over 10
36+
400.00 + $5/employee over 35
$150.00
# Employees
Annual Dues
1-10
150.00
11-35
150.00 + $10/employee over 10
36+
400.00 + $5/employee over 35
$150.00
# Employees
Annual Dues
1-10
150.00
11-35
150.00 + $10/employee over 10
36+
400.00 + $5/employee over 35
$150.00
1,000.00
# Employees
Annual Dues
1-10
500.00
11-35
500.00 + $10/employee over 10
36-285
750.00 + $5/employee over 35
286+
2,000.00
$500.00
# Employees
Annual Dues
1-10
250.00
11-35
250.00 + $10/employee over 10
36+
500.00
$250.00
Total:
$0.00
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