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BUSINESS COUNCIL
MEMBERSHIP APPLICATION
Print this form and fill it out
Corporate & Company Memberships
Please Check Applicable Line:
Annual Dues, payable in advance, are based on annual revenues:
| Gross Sales | Dues | |
|---|---|---|
|
|
||
| ___1. | Up to $25 Million | $250 |
| ___2. | $25 - $100 Million | $450 |
| ___3. | Over $100 Million | $950 |
| ___4. | Corporate Sponsorship | $2000 |
Non-Profit organization
A flat fee of $100 per year.
Company Name:____________________________________ Type of Business:________________________________ Contact:_________________________________________ Title:___________________________________________ Street Address:__________________________________ City, State, & ZIP:__________________________ Telephone:__________________Fax:_________________ E-mail:__________________________________________ Websait:_________________________________________ Applicant's Signature:___________________________
Please mail application and check to:
Mid-Atlantic - Eurasia Business Council
1600 Market Street, Suite 1320
Philadelphia, PA 19103
Cultivating Economic and Cultural Partnerships
between the U.S. Mid-Atlantic States and Eurasia