Company Information

    Corporate Platinum Level Annual Dues: $650 – includes 40 members @ 16.25 each, a Potomac Chapter Website Sponsorship ($75) and a Seminar Breakfast Sponsor ($200)

    Employees Participating (Names and Emails)

    Include the names and emails of up to 40 employees. If members of the National Society, include their membership number.

    Name

    E-Mail

    Business Categories

    Please list one or two categories that best identify the nature of your business.