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Home » Affiliates & Associates » Young Professionals Network » New Member Application

Young Professionals Network

New Member Application

Annual Membership Fee

Select One *: $100 – Employee of a GPCC Member Company
$150 – General Membership

Contact Information

Name*:

Title:

Company*:

Address 1*:

Address 2:

City*:

State*:

Zip*:

Phone*:

Fax:

Email*:

Payment Information

Name On Card*:

Card Type*:

Card Number*:

Expiration Date*:

Security Code*:

CVV Explanation

Billing Information

Amount to be Charged*: $100
$150

Corporate Discounts: 5-9 memberships: 5%
10-19 memberships: 10%
Over 20 memberships: 20%

Other

Additional names for corporate members:

Upcoming Affiliates Events

Arts & Business Council's Business Volunteers for the Arts (BVA)
Oct. 02, 2010
BABC "Building a Better Future" Award Luncheon
Oct. 06, 2010
Arts & Business Council's Business On Board
Oct. 29, 2010

View the Calendar of Events »

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