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Membership |
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LAHBA will provide its members, organized training, speakers, consultants, workshops and act as a liaison between state and federal agencies and other business related organizations and functions. |
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Business Information |
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Business Name: __________________________________________ Business Address: __________________________________________ Business Type: __________________________________________ Services / Products: __________________________________________ Business Owner / Contact Person: __________________________________________ Business Phone: __________________________________________ Business Fax: __________________________________________ Toll Free Number: __________________________________________ Voice Mail: __________________________________________ Email: __________________________________________ Website: __________________________________________
Annual Fee: $75.00 Paid by: __ Business Check __ Cashier Check/ Money Order __ Personal Check Make checks payable to LAHBA and mail a copy of this application to: John Castillo 4264 Greenwood Drive Okemos, MI 48864 Date: ___________________________ ________________________________ Applicant Signature |