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EMACC Membership Survey
1.
 Please help us update our records, keep our mailing list current and help reduce waste and postage expenses by completing the information on this survey before May 29, 2009.   One lucky respondent will be chosen at random to receive free admittance to one of our popular Business After Hours Networking events!
First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

2.
Billing Contact
(if different from the main contact)
Please provide their name, address and email address if possible
 

  • 350 character(s) left.
3.
Marketing / Business Development Contact
(if different from the main contact)
Please provide their name, address and email address if possible
 

  • 350 character(s) left.
4.
Do you prefer to receive your EMACC news via
Email
Mail
Fax
Phone
Other  

Many thanks for taking the time to complete this information.  It is much appreciated!