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Company Name: |
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Contact Name: |
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Company Address: |
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City: |
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State / Country: |
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Zip / Postal Code: |
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Telephone: |
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Fax: |
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E-Mail Address: |
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URL [http://www.] |
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Year Business Established: |
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Type of Company: |
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If Incorporated, please provide the following information on
Company Officers. |
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President: |
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Vice President: |
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Secretary: |
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Treasurer: |
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Please provide a full description of your services and/or products
as you would like it to appear on your
Member Company Profile
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Please select up to three (3) categories you would like your Company Name to appear under: |
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If your company does not fall under any of the current categories you may request a new category(s) |
Requested Category:
Requested Category: |
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Please provide us with the best time to reach you. |
9:00am - 5:00pm Daytime
5:00pm - 9:00pm Evenings
Weekdays
Weekends |
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PART II
Netcheck MEMBERS ONLY Network
This Program allows Netcheck Members to interact and network with each
other at a discounted rate or though a barter agreement.
[This program is not available to the general public] |
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Discount Rate Offered:
(10%, 20%, etc.) |
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Would you consider a
Barter Arrangement |
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Company Description in 50 Words or Less: |
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We will activate your Netcheck Membership within 24 to 48 hours
of confirmation of your Membership Dues.
For our Members convenience Netcheck Accepts all major credit cards and checks via PayPal. You do not have to be a member of PayPal to use this payment service.
Welcome to the Netcheck family and Thank You
for supporting a safe and ethical Internet.
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