Vermont Venture Network
Membership Form 2010
JOIN TODAY!
1. Membership Type
Sponsor ($350)
Member ($150)
2. Contact Name
3. Company
4. Address
5. Phone
6. Fax
7. Email
8. URL
9. Affiliation
Entrepreneur
Source of Capital
Management For Hire
Education
Economic Development
Non-profit
Accounting
Architecture & Development
Banking
Insurance & Investments
Consulting
Marketing
Industrial & Manufacturing
Information Technology
Legal
Other
10. Company Description (255 characters max)
11. I will provide a check made payable to VVN...
At the next meeting
Mailed to PO Box 5839 Burlington VT 05402
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