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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)

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Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

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Fax Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Website Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Required Please enter a valid number Please enter a valid date Please enter valid credit card information Must be a valid email address

Main Contact

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Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

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Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Phone Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Required Please enter a valid number Please enter a valid date Please enter valid credit card information Must be a valid email address

Billing Contact

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Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

HR Contact

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Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Marketing Contact

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Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Contacts

Contact 1

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Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 2

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Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 3

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Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 4

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Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 5

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Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 6

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Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 7

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 8

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Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 9

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 10

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Billing Address (if different)

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Mailing Address (if different)

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Information

Business Description (description to be displayed in online membership directory) Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Woman/Minority/Veteran Owned

Woman Owned
Minority Owned
Veteran Owned

Please check the boxes next to the resources and services that are most relevant to your business:

Advertising/marketing/sponsorship opportunities
Networking
Involvement in Economic Alliance committees and councils
Event volunteer opportunities
Public policy
Professional development

Facebook URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Twitter URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

LinkedIn Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Pinterest URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

YouTube URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Flickr URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Yelp URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

OpenTable URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Google+ URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Instagram URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

FourSquare URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

TripAdvisor URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Houzz URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Angie's List URL Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Referred By Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Membership Investment

Membership Type

Primary Directory Category

Additional Directory Categories

Select additional directory categories below by holding the "CTRL" key

Number of Full Time Employees

Number of Part Time Employees

Payment Type

NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.

A 3.5% surcharge will be added to all credit card transactions.

Total - Pricing options vary. You will be contacted with more information.

Credit Card Fee (3.5%)

Annual Membership Investment

Total

Additional Notes (please provide additional information for anything requiring explanation above) Required Please enter a valid number Please enter a valid date Please enter valid credit card information

The contents of this box are for testing purposes. This box will be removed when the form goes live.

Payment Type

Total (now offering prorated dues for remainder of the year)

Full-Time Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Part-Time Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Hotel/Motel Rooms Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Restaurant Seats Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Associates Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Associates Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Locations Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Locations Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Assets Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Assets Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Categories Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Number Of Additional Categories Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Categories Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 1 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 2 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 3 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 4 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 5 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 6 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 7 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 8 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 9 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 10 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Annual Dues (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Revenue Item Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Credit Card Fee (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Fee (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Temp Value For DropDown 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

MembershipType Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 2

Additional Item 3

Additional Item 4

Additional Item 5

Additional Item 6

Additional Item 7

Additional Item 8

Additional Item 9

Additional Item 10

Number of Rooms

Number of Seats

Number of Associates

Number of Locations

Millions in Assets

Enhanced Membership ($50)

Additional Items

Additional Categories Cost

One-Time Application Fee

Credit Card Information

Credit Card Type

Mastercard

Visa

Discover

Amex

Credit Card Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Name on Card	Required
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City	Required
State
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Credit Card Email Address

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Get Involved

Your membership benefits await

Join the Cedar Rapids Metro Economic Alliance and get connected with like-minded business leaders and decision-makers

Grow & Build

The best location for your business

Our quality of life, affordability, and access to decision-makers are just a few of the reasons more people and businesses choose the Cedar Rapids Metro.

Learn Why Cedar Rapids Is The Perfect Choice

501 First St. SE
Cedar Rapids, IA 52401

Phone (319) 398-5317
Fax (319) 398-5228
Email [email protected]

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