Cheyenne LEADS

Government Entity Membership Application


The undersigned organization/individual hereby applies for membership in the Cheyenne-Laramie County Corporation for Economic Development, subject to the by-laws of the Corporation, for the calendar year specified.

Governmental Department or Division Membership Dues are a minimum of $200 annually, per Department or Division in the name of the Department Director or Division Head, but may pay more to further support local economic development efforts.

Please fill out one application per Division or Department Head

Those fields in red are required fields

Date
07/25/2008  

Organization Name

Mailing Address:

Street or P.O. Box
City
State     Zip 
Website

Contact Information:
Name
Title
Phone     FAX  
E-mail
   
  Total Membership Amount
Membership payment Schedule preferred:
In full, annually  Semi-annual  Quarterly
 

 
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