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Name_____________________________________________________Title
______________________________
Stage Name/ |
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CompanyName______________________________________________________________________________
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Address_____________________________________________________________________________________ |
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City
_________________________________________________ State ___________
Zip ___________________
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Ofc Phone ________________________
Fax ________________________ Alternate No.
__________________
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E-Mail
___________________________________ Web Address
______________________________________ |
Business Category (based on listing title) :
___________________________________________________
Tell us about your interest
_____________________________________________________________________________________________
Type of ownership:
Sole
proprietorship
Corporation
Independent
Partnership
Nonprofit
Other
Date business was established: _____/_____ Number of employees:
________ How many are members in this application, List members (limit
1 additional member):
__________________________,________________________
Do
you export goods/services outside the US? ________ If yes, what
percentage of sales is export business? _______%
Annual sales volume:
Less than $100,000
$100,000 to < 500,000
$500,000 to 1 million
$1 million to < 5 million
$5 million to < 10 million
$10 million and over
Where are your interests?
Youth Programs
Advertisement
Board Membership
Network Membership
Production
Editorial or Other____________________________
Membership Dues Independent$50.00
2nd year membership. Major Corporation (50+
employees)..$ 1,000.00 Nonprofit Organization$55.00 or
1st year independent membership $25.00 New
membership does receive complimentary listings at www.evun.com.
Buy signing this application you agree with the following statement.
Everything Underground (EU) is your network agency that is used solely
for networking, advertising and promotional needs. EU does not make
any warranties or guarantees of your service to any clients. To read
EU’s full disclaimer, at EverythingUnderground.com from EU Corporate
chose disclaimer
Circle: Yes or No
Signature: _______________________________________________
Date: __________________________
Application must be accompanied by check or money order. Please make
payable to: Everything Underground, Inc. P.O. Box 22273 Indianapolis
IN 46222
New Member Line 317-682-3311
__________$other $50.00 $25.00
For internal use: MNo. ______ Date _____ MemStus ____ |