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New Member Application

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Business Name

* First Name

* Last Name

Position

* Email

* Street Address 1

Street Address 2

* City

* State

* Zip Code

Website URL

Upload your Business Logo (jpg or png file format)

* Membership Package

Business Membership: 1-10 Employees - $220.00

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Business Membership: 11-50 Employees - $370.00

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Business Membership: over 50 Employees - $525.00

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Community Service Clubs/Organizations - $95.00

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Direct Sales/Home Business - $105.00

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Elected State & Federal Officials - $165.00

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Individual Membership - $60.00

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Non-Profit Membership: 0-10 Employees - $105.00

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Non-Profit Membership: 11-50 Employees - $195.00

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Non-Profit Membership: over 50 Employees - $280.00

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Total Price: $0.00

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Sullivan Community Development

112 N Main St.
Sullivan, IL 61951

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