test - Center for Procurement Excellence

Name

First

Last

Email

Address

Address Line 1

Address Line 2

City

State / Province / Region

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Country

Organization

Job Title

type Areas Job

Organization Website

Organization type

Phone Number

Job Function or Focus?

Organization Principle Focus?

Areas of Interest? (Check All That Apply)

Select you level of membership:

Individual Membership - $200 per year
Small Company Membership - $1,000 per year
Corporate Membership - $4,000 per year
Educational & Government Membership - (Single Buyer -$100 per buyer per year)
Educational & Government Membership - (Multiple buyers - $100 per buyer per year)

Individual Membership - $200 per year	$200.00
Total$200.00

Small Company Membership - $1,000 per year	$1,000.00
Total$1,000.00

Corporate Membership - $4,000 per year	$4,000.00
Total$4,000.00

Educational & Government Membership - (Single Buyer -$100 per buyer per year)	$100.00
Total$100.00

Total$0.00

Please indicate how many buyer memberships you will require. A member of our team will contact you to get your teams info.

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