Member Services | Membership Application
Membership Application
Member Profile Update
SEEDS Center
Government Affairs
Workforce Development
& Education
DRUGS DON'T WORK
Triple Crown Hometowns
World Class Employee Program
M
embership
A
pplication
Date:
Company Name:
Main Contact:
Title:
Additional Contact:
:
Title:
Street Address:
City:
State:
Zip:
Mailing Address:
City:
State:
Zip:
Telephone (s):
Fax:
Email:
Web site:
Category(ies) for Membership Directory:
1) MAiN
2)
3)
4)
5)
Years in Operation:
Home Based Business:
Yes
No
# of Full Time Employees:
# of Part Time Employees:
(Hotels/Motels/Apartments ONLY) # of Units:
(Attorneys, Accountants, Doctors ONLY) # of Professionals:
Is your company a minority owned business?
Yes
No
* Two part-time employees equal one full-time employee
.
