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NBACDL Membership Form
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What type of membership would you like?
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Choose
Individual: $25
Family: $40 (all members in a household)
Business with 1-10 Employees: $100
Business with 10+ Employees: $200
Nonprofit: $50
Name(s)
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Your answer
Address
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Your answer
Phone Number(s)
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Your answer
Email Address(es)
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Your answer
Business/Organization Name
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Number of Employees
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Preferred Method of Contact
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Phone Call
Text
Email
Mail
Facebook
Facebook Messanger
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Please indicate if you would like a Name Badge at the cost of $10/badge. Include the Name and up to 2 additional lines of text you would like on the badge. These are engraved badges with magnetic clips. They will not put holes in your clothing and are reusable.
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What would you like to see the CDL offer?
*
Please tell us what type of mixer, professional or community development you would like to see.
Social Mixers
Professional Development
Community Development
Other:
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What do you feel the New Berlin Area could enhance, that the CDL could help with?
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Other Comments or Suggestions
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