Keweenaw Industrial Council New Member Application 2000

Please fill in the following fields and click the submit button below when finished. Your application will be sent to
the Keweenaw Industrial Council. Thanks you!

APPLICANT'S COMPANY NAME:
ADDRESS:
CITY:
STATE: ZIP CODE:
PHONE: FAX: EMAIL:
CONTACT PERSON(S):
MEMBER CATEGORY: Please check the category that best suits your business
One payment to be sent via check or money order
Semi-Annual Payments (January, July)
Quarterly Payments Beginning January, 2000
PLEASE SEND ME:
A receipt
An Invoice prior to payment date(s)

Additional Comments?

Please click here to email your form directly to the KIC

Thank you!
The Keweenaw Industrial Council is a 501 (c)(4) non-profit corporation (Federal ID number 23-7314061).
Your membership dues are tax deductible to the fullest extent of the law.

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