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COME GROW WITH US!

INC. MEMBERSHIP FORM
El Dorado, Kansas

Simply print and fill out the form below and mail to or bring by the El Dorado Chamber of Commerce office at 201 E. Central, PO Box 509, El Dorado, KS 67042:

El Dorado Inc. Membership Form


Your Name_______________________________________________

Name of Business___________________________________________

Street Address_____________________________________________

Mailing Address (if different)___________________________________

City_____________________________________________________

State____________________________________________________

Zip Code_________________________________________________

Telephone________________________________________________

E-mail Address_____________________________________________
MEMBERSHIP CATEGORIES: (Check One)

_____$100 Member

_____$300 Directorship

_____$1500 Financial Institution/Utility

We welcome additional investment commitments to El Dorado Inc. to help further the success of our program.

COME GROW WITH US!


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