Rutland County Pro Business Coalition Member Application

RUTLAND COUNTY PRO-BUSINESS COALITION
MEMBERSHIP APPLICATION

Name: _________________________________________ Date:__________

Business Name:________________________________________________________

Address:______________________________________________________

Position:______________________________________________________

Email Address: ________________________________________________

Phone Number: (h)___________________ (b)________________________

Registered to vote:

 Y   N

Which voting district: ______________________

If you live in Rutland City which ward do you vote in: _________________

I ______________________________________ understand the purpose of the RCPBC shall be to further interest in promoting and protecting a competitive, free enterprise, and capitalistic business climate in Rutland County. It shall also serve as an educational vehicle in acquainting the general public with the needs and values of business in The State of Vermont. I agree to follow the by-laws (a copy available upon request) of the organization.

Signature:____________________________________________________

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Below for office use only



Membership Dues: $25       Paid: _______________ Check number: ________________



Board Approval:_________________ Member or Assoc. Member:__________________

Promoting and protecting a competitive economic business climate in Rutland County

Return to:
50 Woodstock Ave., Rutland, VT 05701 Fax: 802-775-1225