Application

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We're thrilled you are interested in becoming a member of the Cedar Rapids Metro Economic Alliance! You are choosing to embark on a fantastic investment for your organization, your employees and our region as a whole. We’re pleased to welcome you and look forward to working with you. Begin your membership with the Economic Alliance by submitting the form below. Have more questions before you join? Contact us here.
Organization Information (to be displayed online)
Main Contact
Billing Contact
HR Contact
Marketing Contact
Additional Contacts
Contact 1
Contact 2
Contact 3
Contact 4
Contact 5
Contact 6
Contact 7
Contact 8
Contact 9
Contact 10
Billing Address (if different)
Mailing Address (if different)
Additional Information
Membership Investment
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NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
   
(please provide additional information for anything requiring explanation above)

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Credit Card Information

Name on Card
Security Code
Valid Through
Address
City
State
Zip
Phone
Credit Card Email Address
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Please select a membership type before submitting your application.

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