Membership & Sponsor Options
First Name
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Last Name
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Company Sponsor Name
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Address
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City
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State
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Zip
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Email
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Web site
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Phone or Mobile Number
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Work Number
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Comments
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Membership/Sponsors Dues
:
BUSINESS PLATINUM SPONSOR $2,500
BUSINESS GOLD SPONSOR $1,500
BUSINESS SILVER SPONSOR $750
BUSINESS BRONZE SPONSOR $500
SMALL BUSINESS SILVER SPONSOR $ 250
Personal Membership (includes 2) $50
Name of HESI representative
:
/memberships/application.aspx?print=Y
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