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Current New Member Companies: 24093 - Totals in real time

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*Name:	*Association:
*Email:	*Contact Phone:
*State:

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Title:
Paid Full Time Staff
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Board Member

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Association Postal Address:

City: State: Zip:

Association Physical Address:(if different)

City: State: Zip:

Web Address:

# of Counties Represented:	# of Board Members:
Current Membership Total:	Currently: Increasing Decreasing Flat
Current Retention Rate:

Membership Cost:
Builder: $ Associate: $ Affiliate: $

Notes about current Membership Cost

Are you planning a Membership Drive within the next 12 months?

When and what plans do you have?

Where did you hear about the

process?

AHB of Greater Birmingham

Massachusetts Drive 1

Massachusetts Drive 2

New Hampshire Drive 1

South Carolina Drive 1

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