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Membership Application for the Utah Alliance for Economic Development 2010-11

We have enjoyed associating with you in the Alliance and look forward to another wonderful year!

There are two types of Alliance memberships: Corporate Sponsorship for an annual fee of $250.00 or Individual Membership for $75.00. Your corporate membership includes 5 individuals from your organization, as well as advertising your business at our quarterly meetings and website.

Name:

Title:

Company/ Organization:

Type of Membership

Corporate Sponsor
Individual Member

If Corporate Sponsor, enter additional names of members from your organization.

Mailing Address:

Office Telephone:

Cellular Phone:

Email:

Web Address:

Fax: