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Member Online Access Setup
Member User Name: *
Email: *
Password: *
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Contact Info
Company Name:
Primary First Name: *
Primary Last Name: *
Phone: *
Membership Fees
Fee Schedule: *	1 - 3 Employees: $180.00 + $9.00 gst = $189.00 4 - 9 Employees: $200.00 + $10.00 gst = $210.00 10 - 25 Employees: $335.00 + $16.75 gst = $351.75 26 - 50 Employees: $545.00 + $27.25 gst = $572.25 Over 50 Employees: $600.00 + $30.00 gst = $630.00
Business Category Selections
Directory Category 1:	USE WIZARD
Directory Category 2:	USE WIZARD
Directory Category 3:	USE WIZARD
Directory Category 4:	USE WIZARD
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