Copy and save this application to your computer. Send as attachment to applyonline@evun.com. Or mail to P.O. Box 22273 Indianapolis IN 46222   

 

 

Text Box: Membership Application
Everything Underground
P.O. Box 22273
Indianapolis IN 46222

 

 

Name_____________________________________________________Title ______________________________

Stage Name/

CompanyName______________________________________________________________________________
 

Address_____________________________________________________________________________________ 

City _________________________________________________ State ___________ Zip ___________________

 

Ofc Phone ________________________ Fax ________________________ Alternate No. __________________
 

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 ____