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MESS HALL MEMBERSHIP APPLICATION

Who are you? Tell us the basics.

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* 1. Please complete the following.

Name: *

Company: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 2. List your company website(s). If you don't have a website but do have a FB page, list that here.

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* 3. List your Twitter handle(s) if any.

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* 4. Describe your business and your product line.