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Application for Diamond Membership
Application form
Price:
$2,500
Business Name:*
Business Name is Required
Business Address:*
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City:*
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State:*
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Zip Code/ Postal Code:*
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Phone Number:*
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Email Address:*
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Website:*
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Name:*
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Title/Position:*
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Phone Number:*
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Email:*
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Type of Business:*
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Industry:*
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Number of Employees:*
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Year Established:*
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Please check the appropriate Business category:*
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Small Business (1-10 employees)
Medium Business (11-50 employees)
Large Business (51+ employees)
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Individual Membership
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Bronze Membership $ 295 / Year
Silver Membership $ 475 / Year
Gold Membership $ 1200 / Year
Diamond Membership $ 2500 / Year
I hereby apply for membership to the French American Business Council of West Florida and agree to abide by the bylaws and regulations set forth by the Chamber.*
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