Member - DEMO - Ariel, MN

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Member Application

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Membership Options

Step 1:

Member Info

Company Name *
Please add your company name.

Leave Blank

Phone *
Please add your company phone number.

Physical Address

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

State

State *
Please add your State.

State

Postal Code

Step 2:

Additional Info

Directory Category

Full-time Employees

Part-time Employees

What type of events are you interested in?

Step 3:

Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Phone

Address

Same as Address in Step 1

Address line 1

Address line 2

Country

City

State

State *
Please add your State.

State

Postal Code

Step 4:

Membership Package

Please select a Membership Package

Red Level $100
this is for 1-5 employees

OrangeLevel $150
this is a membership for 6-10 employees

Blue Level $250
oh look! 11-25 employees

Color Wheel Membership $500
Special Highlighted page details, sponsor monthly events for the year, advertisement on home page, member water bottle

Additional Fees:

member member $20 one time
this is here

Comments/Questions

Payment Option

Bill Me

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