First Name: * |
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Last Name: * |
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Address Street 1: * |
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Address Street 2: |
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City: * |
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Zip Code: * |
(5 digits) |
State: |
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Daytime Phone: * |
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Evening Phone: |
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Email: |
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COPPER MEMBER - INDIVIDUAL
Initial Membership Pledge
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COPPER INDIVIDUAL MEMBER - $100.
Annual Dues - $10.
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COPPER MEMBER - FAMILY
Initial Membership Pledge
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COPPER FAMILY MEMBER - $150.
Annual Dues - $15. |
COPPER PLEDGE A DIFFERENT AMOUNT: |
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SILVER MEMBER
Non Profits & Organizations
initial Membership Pledge
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SILVER MEMBER - $1,200.
Annual Dues - $120. |
SILVER PLEDGE A DIFFERENT AMOUNT: |
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GOLD MEMBER
Business & Industry
Initial Membership Pledge
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GOLD MEMBER - $3,000.
Annual Dues - $300.
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GOLD PLEDGE A DIFFERENT AMOUNT: |
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Payment Preference - (Installments available for Silver & Gold Level members only: * |
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