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IRG Application
Membership Chair: Lynda Lee Stern - 419-242-9900
I.R.G. Membership Application
Title
Last Name
First Name
Middle Name
Company
Position
Business Type
Job Description
Years with this company
BUSINESS ADDRESS
Address 1
Address 2
City
State
Zip
CONTACT INFORMATION
Work Phone
Home Phone
E-mail
Mobile
E-mail again
QUESTIONAIRE
Why do you want to join this networking group?
Have you ever been involved with any networking groups?
Do you know any categories where your business conflicts with any of the current members?
Annual membership fee of $50 due upon membership approval
