INTERESTED IN BECOMING A MEMBER

For more information about B2B Leads, Please take the time to fill out this form

Company:

Representative:

Title:

Address:

Suite:

City:

State:

 Zip Code:

Office Phone:

Fax:

E-Mail:

Web Site:

Call the following number to inquire about club dues:

503-310-2494

Mailing Address:

P.O. Box 820511
Vancouver, WA 98682

Information needed for membership application:

Business Classification:

What are 60% of your company's products and services?

Industry Classification:

Membership held by (Check one) Company Individual

I/We agree to follow B2B Leads rules and bylaws that have been provided to me.

Mailing Address:
P.O. Box 820511
Vancouver, WA 98682
503-310-2494

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