Join Us
Membership Application
Note: Membership dues are assessed annually in accordance with the categories noted below: Please check your membership preference and submit ONE APPLICATION PER MEMBER; duplicate as necessary.
____ (A) Corporate -$200 Entitles member to four employee designates on the GTEDC, with the option to add additional members at the rate of $50 per member.
____ (B) Business -$75 Entitles member to one employee designate on the GTEDC, with the option to add additional members at the rate of $50 per member.
____ (C) Educational, Non-Profit, Association -$75 Entitles member to one employee designate on the GTEDC, with the option to add additional members at the rate of $50 per member.
____ (D) Individual -$50
Name/Title: ___________________________________________________
Company Name/Address/Zip: _______________________________
Telephone: (____) _______________ FAX: (____) _____________
E-Mail: _____________________ Website: _________________
For Member Categories (A) (B) & (C), list the names of all designated members:
_________________________________________________________
_________________________________________________________
Method of Payment (check one):
___ Check Enclosed/Amount: $___________________________
___ Please check to request an invoice be sent to your attention
Please return application and payment to:
Deborah Lewis
GTEDC
SAU, P. O. Box 9135
Magnolia, AR 71754-9135
Ph: 870-235-4924
Fax: 870-235-5110
