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Building and Industries Exchange of Pottstown - Membership Application Please print and complete the following form. Forward this form with payment in the amount of $450.00 ($100 one time entrance fee + one year's dues). Send To:
Building and Industries Exchange of Pottstown |
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| Contact Name | ______________________________________________ |
| Company Names | ______________________________________________ |
| Company Address | ______________________________________________ |
| ______________________________________________ | |
| City State and Zip | ______________________________________________ |
| Phone | ______________________________________________ |
| Fax | ______________________________________________ |
| ______________________________________________ | |
| Number of years in business | ______________________________________________ |
| Type of Business | ______________________________________________ |
| Banking References | ______________________________________________ ______________________________________________ ______________________________________________ |
| Business References | ______________________________________________ ______________________________________________ ______________________________________________ |
| Number of Employees | ______________________________________________ |
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