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President’s Circle App.







Presidential Circle Membership Application

President’s Circle Membership

for benefit details

Business Name________________________________________

Representative Name___________________________________

Title_________________________________________________

                       Business Address______________________________________

                       City/State/Zip__________________________________________

Mailing Address if different________________________________

Business Phone_______________ Fax Number_____________

E-mail address________________________________________

Website_____________________________________________

Number of Employees__________________________________

Nature of Business_____________________________________



Annual  Investment

Presidential Circle Member

1-2 Full Time Employees………..169.00

3-10 Full Time Employees………260.00

11-25 Full Time Employees……..340.00

26-100 Full Time Employees……430.00

Over 100 Full Time Employees...599.00

Please count 2 part-time employees as one full-time employee