New Membership Information

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*Required Information

Business Name*

Contact Name*

Contact Address*

City*             State*        ZIP*-

Physical Address

City             State       ZIP-

Contact Telephone Number*             (include area code)

E-mail address*

Website

How would you like to receive your CORD newsletter?*
  Receive all newsletters

Receive those with my ads only

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Would you like information about CORD’s yearly festival when it is made available?*
  No, I’ll take the normal newsletters and notices

Yes, I’ll take CORD Festival info too

Would you allow your online based ads to be placed in CORD’s monthly e-newsletter?*
 No, website ads only

Yes, I grant permission for my online ad to appear in E-News
 

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